Active NPI
Christian Eggleston, PT, DPT
- Physical Therapist
- Yuma, AZ
National Provider Identifier
1679098289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026326
- Practice address
- 11509 S Fortuna Rd
Yuma, AZ 85367-7857 - Phone
- (928) 342-8767
- NPI assigned
- Aug 4, 2017
- Last updated
- Aug 4, 2017
- 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 | PT026326 | PA | Primary |
Addresses
Primary practice location
11509 S Fortuna Rd
Yuma, AZ 85367-7857
Mailing address
70 Aldrich Ave
Binghamton, NY 13903-1452
Phone (607) 727-7708
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 |
|---|---|---|---|
| PT026326 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1679098289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 ALDRICH AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031452",
"telephone_number": "607-727-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11509 S FORTUNA RD",
"city": "YUMA",
"state": "AZ",
"postal_code": "853677857",
"telephone_number": "928-342-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLESTON",
"first_name": "CHRISTIAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-04",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.