Active NPI
Keisha Eleanora Christian, P.T.
- Specialist
- Cary, NC
National Provider Identifier
1538240692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7076
- Practice address
- 106 Fountain Brook Cir
Suite B4
Cary, NC 27511-4478 - Phone
- (919) 463-0110
- Fax
- (919) 463-0610
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7076 | NC | Primary |
Addresses
Primary practice location
106 Fountain Brook Cir
Suite B4
Cary, NC 27511-4478
Mailing address
106 Fountain Brook Circle
Suite B4
Cary, NC 27511
Phone (919) 463-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7076 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Motion Physical Therapy Inc | Specialist | Past | Accepting new patients |
| Total Motion PT | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Raleigh, NC
- NPI 1235197112
-
- Physical Therapist
- Raleigh, NC
- NPI 1558817155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538240692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FOUNTAIN BROOK CIRCLE",
"address_2": "SUITE B4",
"city": "CARY",
"state": "NC",
"postal_code": "27511",
"telephone_number": "919-463-0110",
"fax_number": "919-463-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FOUNTAIN BROOK CIR",
"address_2": "SUITE B4",
"city": "CARY",
"state": "NC",
"postal_code": "275114478",
"telephone_number": "919-463-0110",
"fax_number": "919-463-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "KEISHA",
"middle_name": "ELEANORA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "7076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.