Christopher Roberts, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006036 Issued in CT

Practice address

35 Tower LN Ste 110
Avon, CT 06001

Phone

(860) 404-2549

Fax

(860) 404-2621

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Dynamic Health Physical TherapyGroup PAC ID 6901179936, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Avon, CT
  • NPI 1700221371
  Medicare reassignment Care Compare group Authorized official
• Regional Physical Therapy

  • Physical Therapist
  • Bloomfield, CT
  • NPI 1932151743
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1710021563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TOWER LN STE 110",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014237",
            "telephone_number": "860-404-2549",
            "fax_number": "860-404-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TOWER LN STE 110",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-404-2549",
            "fax_number": "860-404-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Cottage Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023064",
            "country_code": "US",
            "telephone_number": "860-243-6571",
            "fax_number": "860-243-6579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "080006036CT01",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "croberts@dynamichealthpt.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "35 Tower Ln Ste 110",
            "city": "Avon",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060014237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison Kathleen Riley, NP-C, ATC, CHPT,
• Kristie L Riley, LPC, LMHC
• Andrea Rindone, LCSW
• Riverside Podiatry,LLC
• RMW Enterprise PC
• Laurie Roberts, PH.D., LPC
• Christine Robinson, M.S., CCC-SLP
• Mollie Rose Rogan, M.S. CF-SLP
• Erica Rogers, APRN
• Jennifer Roke, LCSW

• Physical Therapist in Avon, CT
• Providers in Avon, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.