Active NPI
Christopher Lee Reid, MPT
- Pediatric Physical Therapist
- Bella Vista, AR
National Provider Identifier
1669641445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT2647
- Practice address
- 4 N Brent LN
Bella Vista, AR 72714-2827 - Phone
- (479) 876-5811
- NPI assigned
- Feb 26, 2008
- Last updated
- Feb 26, 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT2647 | AR | Primary |
Addresses
Primary practice location
4 N Brent LN
Bella Vista, AR 72714-2827
Mailing address
4 N Brent LN
Bella Vista, AR 72714-2827
Phone (479) 876-5811
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 |
|---|---|---|---|
| PT2647 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hispanic Regional Clinics SC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1184653040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1669641445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 N BRENT LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727142827",
"telephone_number": "479-876-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 N BRENT LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727142827",
"telephone_number": "479-876-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "PT2647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bella Vista, AR
- Albert Paul Price Jr., A.N.P.
- Deborah Pridemore, LPC, LMFT
- Amanda Pullen, M.S. CF-SLP
- QHG of Springdale Inc (Northwest Senior Health Center -- Bentonville)
- Kathy S. Raines, CD, ICCE
- Carol L Reynolds, DC
- Mary Margaret Rhinehart
- Richard W Wike O D PA
- Richard W. Miles, M.D. & Assoc., PLLC
- Brenda Gail Richard, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.