Active NPI
Christopher Daniel Maddox, PT, DPT, ATC
- Physical Therapist
- Acworth, GA
National Provider Identifier
1649432972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009332
- Practice address
- 3450 Cobb Pkwy NW
Suite 220
Acworth, GA 30101-8351 - Phone
- (770) 974-1978
- Fax
- (770) 974-1979
- NPI assigned
- Jun 27, 2008
- 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 | PT009332 | GA | Primary |
Addresses
Primary practice location
3450 Cobb Pkwy NW
Suite 220
Acworth, GA 30101-8351
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009332 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1649432972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 COBB PKWY NW",
"address_2": "SUITE 220",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018351",
"telephone_number": "770-974-1978",
"fax_number": "770-974-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "CHRISTOPHER",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.