Active NPI
Camden Charles Chrisman
- Physical Therapist
- Dallas, TX
National Provider Identifier
1649964115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1376988
- Practice address
- 3410 Worth St Unit 800
Dallas, TX 75246-2003 - Phone
- (214) 370-9774
- NPI assigned
- Jun 6, 2023
- 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 | 1376988 | TX | Primary |
Addresses
Primary practice location
3410 Worth St Unit 800
Dallas, TX 75246-2003
Mailing address
7601 Churchill Way Apt 1629
Dallas, TX 75251-1945
Phone (319) 750-0096
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 |
|---|---|---|---|
| 1376988 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1649964115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 CHURCHILL WAY APT 1629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511945",
"telephone_number": "319-750-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 WORTH ST UNIT 800",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462003",
"telephone_number": "214-370-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISMAN",
"first_name": "CAMDEN",
"middle_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1376988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.