Individual provider Active NPI

Eric S Christensen, PT, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1639406648
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8569 Issued in AZ
Practice address
5590 W Chandler Blvd
#4
Chandler, AZ 85226-3697
Phone
(480) 786-4969
Fax
(480) 786-5118
NPI assigned
Nov 11, 2009
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 8569 AZ Primary

Addresses

Primary practice location

5590 W Chandler Blvd
#4
Chandler, AZ 85226-3697

Mailing address

5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226-3744
Phone (480) 786-4969

Other identifiers 1

IdentifierTypeStateIssuer
Z136087OtherAZMEDICARE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000358 AZ Practitioner - Physical Therapist in Private Practice 3274668298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Sports Medicine LLCGroup PAC ID 6800228479, 40 clinicians

Practice addresses (Care Compare)

10450 E Riggs Rd
Suite 104
Sun Lakes, AZ 85248-7759
Phone (612) 888-5224

5590 W Chandler Blvd
Suite 4
Chandler, AZ 85226-3744
Phone (480) 306-6627

8427 E Baseline Rd
Suite 101
Mesa, AZ 85209-4381
Phone (612) 888-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8569AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Sports Medicine LLC Physical Therapist CurrentSince May 10, 2023 Accepting new patients
Foundational Physical Therapy LLC Physical Therapist CurrentSince Jan 29, 2012 Accepting new patients
Modern Sports Medicine LLC CurrentSince May 10, 2023 Accepting new patients
Physical Rehabilitation and Hand Centers Inc Physical Therapist Past Accepting new patients

Locations

5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969

10450 E Riggs Rd
Ste 104
Sun Lakes, AZ 85248
Phone (612) 888-5224

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1639406648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD",
            "address_2": "STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263744",
            "telephone_number": "480-786-4969",
            "fax_number": "480-786-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W CHANDLER BLVD",
            "address_2": "#4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263697",
            "telephone_number": "480-786-4969",
            "fax_number": "480-786-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ERIC",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "Z136087",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.