Individual provider Active NPI

Christopher B Deans, PT

  • Physical Therapist
  • Jackson, MS
National Provider Identifier
1619040649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1645 Issued in MS
Practice address
5451 Robinson Road Ext
Jackson, MS 39204-4138
Phone
(601) 371-5257
Fax
(601) 371-9986
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PT1645 MS Primary

Addresses

Primary practice location

5451 Robinson Road Ext
Jackson, MS 39204-4138

Mailing address

5451 Robinson Road Ext
Jackson, MS 39204-4138
Phone (601) 371-5257

Other identifiers 1

IdentifierTypeStateIssuer
04784517MedicaidMS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT1645MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Therapy Solutions, LLC Physical Therapist CurrentSince Feb 23, 2020 Accepting new patients
Delta Therapy Solutions, LLC Physical Therapist Current Accepting new patients
Therapy First Outpatient Rehabilitation LLC Physical Therapist Past Accepting new patients
Good Samaritan Physical Therapy,Inc. Past Accepting new patients

Locations

1005 Johnson St
Tallulah, LA 71282
Phone (318) 574-5273

610 Market St
Port Gibson, MS 39150
Phone (601) 437-2399

Organizations & group practices 4

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619040649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 ROBINSON ROAD EXT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044138",
            "telephone_number": "601-371-5257",
            "fax_number": "601-371-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 ROBINSON ROAD EXT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044138",
            "telephone_number": "601-371-5257",
            "fax_number": "601-371-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANS",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04784517",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

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.

Verify at the official NPI Registry.