Active NPI
Christopher Crain, DPT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1679020929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12489
- Practice address
- 7525 E Broadway Rd
Suite 6
Mesa, AZ 85208-2002 - Phone
- (480) 354-2911
- Fax
- (480) 984-3169
- NPI assigned
- Sep 3, 2016
- 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 | 12489 | AZ | Primary |
Addresses
Primary practice location
7525 E Broadway Rd
Suite 6
Mesa, AZ 85208-2002
Mailing address
1234 Whitefish Stage
Kalispell, MT 59901-2753
Phone (406) 756-7878
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 |
|---|---|---|---|
| 12489 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472860800000",
"number": "1679020929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 WHITEFISH STAGE",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012753",
"telephone_number": "406-756-7878",
"fax_number": "406-309-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 E BROADWAY RD",
"address_2": "SUITE 6",
"city": "MESA",
"state": "AZ",
"postal_code": "852082002",
"telephone_number": "480-354-2911",
"fax_number": "480-984-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-03",
"last_updated": "2016-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.