Individual provider Active NPI

Christopher Janson

  • Physical Therapy Assistant
  • Espanola, NM
National Provider Identifier
1700328150
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A-0810 Issued in NM
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

Updated by the provider on Nov 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A-0810NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.