Individual provider Active NPI

Christian Alfonso Navarro, DPT

  • Physical Therapist
  • Ashland, MA
National Provider Identifier
1679122022
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24390 Issued in MA
Practice address
15 W Union St
Ashland, MA 01721-1464
Phone
(508) 881-6750
Fax
(508) 551-6760
NPI assigned
Sep 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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 24390 MA Primary

Addresses

Primary practice location

15 W Union St
Ashland, MA 01721-1464

Mailing address

15 W Union St
Ashland, MA 01721-1464
Phone (508) 881-6750

Other identifiers 1

IdentifierTypeStateIssuer
24390OtherMASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120000982 MA Practitioner - Physical Therapist in Private Practice 0143652719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Physical Therapy, Inc.Group PAC ID 5799686549, 22 clinicians

Practice addresses (Care Compare)

15 W Union St
Ashland, MA 01721-1464
Phone (508) 881-6750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24390MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Physical Therapy, Inc. CurrentSince Nov 10, 2024 Accepting new patients
Platinum Physical Therapy, Inc. Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1679122022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W UNION ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211464",
            "telephone_number": "508-881-6750",
            "fax_number": "508-551-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W UNION ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211464",
            "telephone_number": "508-881-6750",
            "fax_number": "508-551-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "CHRISTIAN",
        "middle_name": "ALFONSO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24390",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.