Individual provider Active NPI

Christopher Panjavan, PT

  • Physical Therapist
  • Live Oak, TX
National Provider Identifier
1649791245
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1290560 Issued in TX
Practice address
12315 Judson Rd Ste 312
Live Oak, TX 78233-3265
Phone
(210) 599-3090
Fax
(210) 599-4088
NPI assigned
Jul 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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 1290560 TX Primary

Addresses

Primary practice location

12315 Judson Rd Ste 312
Live Oak, TX 78233-3265

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726001314 TX Practitioner - Physical Therapist in Private Practice 3870863772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12315 Judson Rd
Suite 310And312
Live Oak, TX 78233-3277
Phone (210) 599-3090

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 12, 2017 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 12, 2017 Accepting new patients

Locations (25 of 26)

790 Remington Blvd
Bolingbrook, IL 60440

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

10815 Ranch Road 2222
Unit 205
Austin, TX 78730
Phone (512) 975-7379

6301 W Parmer Ln
Ste 102
Austin, TX 78729
Phone (512) 527-6479

165 Hargraves Dr
Ste M400
Austin, TX 78737
Phone (512) 975-7268

7010 W Highway 71
Ste 300A
Austin, TX 78735
Phone (512) 975-7268

1700 E Oltorf St
Ste 105
Austin, TX 78741
Phone (512) 652-0014

1245 Main St
Ste 230
Buda, TX 78610
Phone (512) 400-4437

524 Singing Oaks
Ste 210
Bulverde, TX 78070
Phone (830) 256-7578

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1320 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613
Phone (512) 676-3948

1013 W University Ave
Ste 335
Georgetown, TX 78628
Phone (512) 876-2111

2501 Ranch Road 620 S
Ste 140
Lakeway, TX 78738
Phone (512) 527-6944

1310 Ranch Road 620 S
Ste B10
Lakeway, TX 78734
Phone (512) 263-1795

1825 Crystal Falls Pkwy
Ste 150
Leander, TX 78641
Phone (512) 817-5001

12315 Judson Rd
Ste 310
Live Oak, TX 78233
Phone (210) 599-3090

12700 Lexington St
Unit 260
Manor, TX 78653
Phone (512) 527-6206

2606 W Pecan St
Ste 102
Pflugerville, TX 78660
Phone (512) 527-6298

17220 N Rm 620 Rd
Ste 110
Round Rock, TX 78681
Phone (512) 527-6007

8910 Bandera Rd
Ste 112
San Antonio, TX 78250
Phone (210) 318-3979

21918 US Highway 281 N
Ste 105
San Antonio, TX 78258
Phone (210) 580-5857

1123 N Main Ave
Ste 211
San Antonio, TX 78212
Phone (210) 226-2101

3903 Wiseman Blvd
Ste 311
San Antonio, TX 78251
Phone (210) 593-0578

17026 Bulverde Rd
Ste 108
San Antonio, TX 78247
Phone (210) 819-2994

1800 NE Loop 410
Ste 100
San Antonio, TX 78217
Phone (210) 247-6335

Organizations & group practices 2

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1649791245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD STE 312",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333265",
            "telephone_number": "210-599-3090",
            "fax_number": "210-599-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANJAVAN",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1290560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.