Individual provider Active NPI

Christopher V Pogson, MPT, OCS, FAAOMPT

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1689876724
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20706 Issued in CA
Practice address
2664 29TH St
Santa Monica, CA 90405-2916
Phone
(310) 392-8259
Fax
(310) 392-8274
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 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 PT20706 CA Primary

Addresses

Primary practice location

2664 29TH St
Santa Monica, CA 90405-2916

Mailing address

2664 29TH St
Santa Monica, CA 90405-2916
Phone (310) 392-8259

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

LicenseStateTypeSpecialty
PT20706CAMDPhysical Therapist
20706CAMDRegistered Respiratory Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1689876724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 29TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052916",
            "telephone_number": "310-392-8259",
            "fax_number": "310-392-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 29TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052916",
            "telephone_number": "310-392-8259",
            "fax_number": "310-392-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MPT, OCS, FAAOMPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.