Active NPI
Christopher Fondren, PT
- Physical Therapist
- Toledo, OH
National Provider Identifier
1679720528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011699
- Practice address
- 2865 N Reynolds Rd
BLDG a
Toledo, OH 43615-2068 - Phone
- (419) 578-7200
- Fax
- (419) 537-5600
- NPI assigned
- Aug 22, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011699 | OH | Primary |
Addresses
Primary practice location
2865 N Reynolds Rd
BLDG a
Toledo, OH 43615-2068
Mailing address
2865 N Reynolds Rd
BLDG a
Toledo, OH 43615-2068
Phone (419) 578-7200
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 |
|---|---|---|---|
| PT011699 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1679720528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 N REYNOLDS RD",
"address_2": "BLDG A",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436152068",
"telephone_number": "419-578-7200",
"fax_number": "419-537-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 N REYNOLDS RD",
"address_2": "BLDG A",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436152068",
"telephone_number": "419-578-7200",
"fax_number": "419-537-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONDREN",
"first_name": "CHRISTOPHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT011699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.