Individual provider Active NPI

Chris L. Amundson, DPT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1538169529
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4779 Issued in OR
Practice address
615 Sierra Rose Drive
2A
Reno, NV 89511
Phone
(775) 828-9724
Fax
(775) 828-9728
NPI assigned
Jul 31, 2005
Last updated
Aug 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4779 OR Primary

Addresses

Primary practice location

615 Sierra Rose Drive
2A
Reno, NV 89511

Mailing address

615 Sierra Rose Drive
2A
Reno, NV 89511
Phone (775) 828-9724

Other identifiers 2

IdentifierTypeStateIssuer
022695MedicaidOR
067873000OtherORBLUE CROSS OF OREGON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000091 NV Practitioner - Physical Therapist in Private Practice 1456322213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuhn Physical Therapy LLCGroup PAC ID 4284618083, 12 clinicians

Practice addresses (Care Compare)

1898 College Pkwy
Suite 102
Carson City, NV 89706-7926
Phone (775) 883-8800

2175 Green Vista Dr
Suite 210
Sparks, NV 89431-8510
Phone (775) 674-8903

615 Sierra Rose Dr
Reno, NV 89511-4009
Phone (775) 828-9724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1538169529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SIERRA ROSE DRIVE",
            "address_2": "2A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-828-9724",
            "fax_number": "775-828-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SIERRA ROSE DRIVE",
            "address_2": "2A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-828-9724",
            "fax_number": "775-828-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "CHRIS",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-31",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022695",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF OREGON",
            "identifier": "067873000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.