Individual provider Active NPI

Christopher Edward Royster, PT, DPT

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1558972703
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36066 Issued in FL
Practice address
1529 Sunrise Plaza Dr Ste 6
Clermont, FL 34714-6202
Phone
(352) 243-9341
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 36066 FL Primary

Addresses

Primary practice location

1529 Sunrise Plaza Dr Ste 6
Clermont, FL 34714-6202

Mailing address

1222 Lake Piedmont Cir
Apopka, FL 32703-7454

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://ww.fourcornersrehab.com/

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

LicenseStateTypeSpecialty
36066FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Home Healthcare Inc CurrentSince Feb 1, 2022 Accepting new patients
FCHR PA Physical Therapist CurrentSince Aug 23, 2020 Accepting new patients
Legacy Sports Physical Therapy LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

1529 Sunrise Plaza Dr
Ste 6
Clermont, FL 34714
Phone (352) 243-9341

7307 Sandscove Ct
Ste 11
Winter Park, FL 32792
Phone (407) 536-8311

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1558972703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 LAKE PIEDMONT CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 SUNRISE PLAZA DR STE 6",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146202",
            "telephone_number": "352-243-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "36066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://ww.fourcornersrehab.com/",
            "affiliation": "N",
            "address_1": "1529 Sunrise Plaza Dr Ste 6",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347146202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.