Individual provider Active NPI

Christopher Charles Friedmann, P.T.A.

  • Physical Therapy Assistant
  • Muskegon, MI
National Provider Identifier
1730397142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA19667 Issued in FL
Practice address
635 W Summit Ave
Muskegon, MI 49441-4190
Phone
(888) 488-9030
NPI assigned
May 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PTA19667 FL Primary

Addresses

Primary practice location

635 W Summit Ave
Muskegon, MI 49441-4190

Mailing address

5142 Palm Brooke Cir
West Palm Beach, FL 33417-7541
Phone (702) 860-2876

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
PTA19667FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730397142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 PALM BROOKE CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334177541",
            "telephone_number": "702-860-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W SUMMIT AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414190",
            "telephone_number": "888-488-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMANN",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.