Active NPI
Eric S Christensen, PT, DPT
- Physical Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8569
- 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, 2020
- 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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z136087 | Other | AZ | MEDICARE PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8569 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Foundational Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Modern Sports Medicine LLC | Current | 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.
-
dba Chandler Physical Therapy
- Physical Therapist
- Chandler, AZ
- NPI 1427334028
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Sun Lakes, AZ
- NPI 1285295089
Physical Therapist
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Tucson, AZ
- NPI 1609662709
-
dba Chandler Orthopedic & Sports Therapy
- Physical Therapist
- Chandler, AZ
- NPI 1548343635
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.