Active NPI
Christie St. Amour, DPT
- Physical Therapist
- Greenwood, IN
National Provider Identifier
1609349141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013092A
- Practice address
- 1703 W Stones Crossing Rd Ste 120
Greenwood, IN 46143-8558 - Phone
- (317) 528-2018
- Fax
- (317) 528-2907
- NPI assigned
- Jan 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 05013092A | IN | Primary |
Addresses
Primary practice location
1703 W Stones Crossing Rd Ste 120
Greenwood, IN 46143-8558
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
1201 Hadley Rd Ste 101
Mooresville, IN 46158-1737
Phone (317) 831-9333
Other names 1
- Christie Tyler
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1609349141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 W STONES CROSSING RD STE 120",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461438558",
"telephone_number": "317-528-2018",
"fax_number": "317-528-2907"
}
],
"practiceLocations": [
{
"address_1": "1201 Hadley Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "IN",
"postal_code": "461581737",
"country_code": "US",
"telephone_number": "317-831-9333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST. AMOUR",
"first_name": "CHRISTIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013092A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "TYLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.