Active NPI
Christopher Richard Bartkowski, D.C., P.T.
- Physical Therapist
- Elk Grove, CA
National Provider Identifier
1679683825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41367
- Practice address
- 9295 East Stockton Blvd
Ste 10
Elk Grove, CA 95624 - Phone
- (916) 226-6640
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30165 | CA | |
| Physical Therapist | 225100000X | 41367 | CA | Primary |
Addresses
Primary practice location
9295 East Stockton Blvd
Ste 10
Elk Grove, CA 95624
Mailing address
9295 East Stockton Blvd
Ste 10
Elk Grove, CA 95624
Phone (916) 226-6640
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 |
|---|---|---|---|
| 41367 | CA | MD | Marriage & Family Therapist |
| DC30165 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402704000000",
"number": "1679683825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9295 EAST STOCKTON BLVD",
"address_2": "STE 10",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95624",
"telephone_number": "916-226-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9295 EAST STOCKTON BLVD",
"address_2": "STE 10",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95624",
"telephone_number": "916-226-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTKOWSKI",
"first_name": "CHRISTOPHER",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C., P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30165",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.