Active NPI
Christopher Janson
- Physical Therapy Assistant
- Espanola, NM
National Provider Identifier
1700328150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-0810
- Practice address
- 706 La Joya St Ste D
Espanola, NM 87532-2877 - Phone
- (505) 753-6550
- Fax
- (505) 753-1219
- NPI assigned
- Nov 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-0810 | NM | Primary |
Addresses
Primary practice location
706 La Joya St Ste D
Espanola, NM 87532-2877
Mailing address
706 La Joya St Ste D
Espanola, NM 87532-2877
Phone (505) 753-6550
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-0810 | NM | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concentra Medical Center-Santa Fe Espanola | Past | Accepting new patients | |
| Espanola Sports Medicine, PA | Past | 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.
-
- Health Service Clinic/Center
- Espanola, NM
- NPI 1437345089
-
- Rehabilitation Clinic/Center
- Espanola, NM
- NPI 1982777850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1700328150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 LA JOYA ST STE D",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322877",
"telephone_number": "505-753-6550",
"fax_number": "505-753-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 LA JOYA ST STE D",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322877",
"telephone_number": "505-753-6550",
"fax_number": "505-753-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSON",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NM",
"license": "A-0810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.