Active NPI
Kyle W Christ, PT, DPT
- Physical Therapist
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37566
- Practice address
- 4501 W Shannon Lakes Dr
Tallahassee, FL 32309-2221 - Phone
- (850) 852-0960
- NPI assigned
- Apr 11, 2024
- Last updated
- Apr 11, 2024
- 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 | PT37566 | FL | Primary |
Addresses
Primary practice location
4501 W Shannon Lakes Dr
Tallahassee, FL 32309-2221
Mailing address
4004 Norton LN Ste 204
Tallahassee, FL 32308-5973
Phone (850) 222-5552
Other practice location 1
4004 Norton Ln Ste 204
Tallahassee, FL 32308-5973
Phone (850) 222-5552
Other practice location 2
2516 Lakeshore Dr
Tallahassee, FL 32312-2104
Phone (850) 536-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4501 W Shannon Lakes Dr
Tallahassee, FL 32309-2221
Phone (850) 228-5408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37566 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Home Health - District 2, LLC | Current | Accepting new patients |
Locations
4004 Norton Ln
Ste 204
Tallahassee, FL 32308
Phone (850) 222-5552
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Apex Health and Rehab
- Physical Therapist
- Tallahassee, FL
- NPI 1427924810
-
dba SunCrest OMNI
- Home Health Agency
- Tallahassee, FL
- NPI 1891024097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1720832306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 NORTON LN STE 204",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085973",
"telephone_number": "850-222-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 W SHANNON LAKES DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323092221",
"telephone_number": "850-852-0960"
}
],
"practiceLocations": [
{
"address_1": "4004 Norton Ln Ste 204",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323085973",
"country_code": "US",
"telephone_number": "850-222-5552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2516 Lakeshore Dr",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323122104",
"country_code": "US",
"telephone_number": "850-536-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRIST",
"first_name": "KYLE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.