Active NPI
Christopher Edward Royster, PT, DPT
- Physical Therapist
- Clermont, FL
National Provider Identifier
1558972703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 36066
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36066 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Home Healthcare Inc | Current | Accepting new patients | |
| FCHR PA | Physical Therapist | Current | Accepting new patients |
| Legacy Sports Physical Therapy LLC | Current | 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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Winter Park, FL
- NPI 1841152501
-
- Physical Therapist
- Clermont, FL
- NPI 1760427975
-
- Home Health Agency
- Clermont, FL
- NPI 1669127981
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.