Active NPI
Christopher William Jones
- Physical Medicine & Rehabilitation Physician
- Bridgeton, MO
National Provider Identifier
1619481041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2015036884
- Practice address
- 12115 Bridgeton SQ
Bridgeton, MO 63044-2616 - Phone
- (314) 291-8380
- Fax
- (314) 291-7356
- NPI assigned
- Nov 21, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2015036884 | MO | Primary |
Addresses
Primary practice location
12115 Bridgeton SQ
Bridgeton, MO 63044-2616
Mailing address
12115 Bridgeton SQ
Bridgeton, MO 63044-2616
Phone (314) 291-8380
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015036884 | MO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Past | Accepting new patients |
Organizations & group practices 1
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": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1619481041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12115 BRIDGETON SQ",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442616",
"telephone_number": "314-291-8380",
"fax_number": "314-291-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12115 BRIDGETON SQ",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442616",
"telephone_number": "314-291-8380",
"fax_number": "314-291-7356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2015036884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.