Individual provider Active NPI

Christopher M Ford, PT

  • Physical Therapist
  • East Rutherford, NJ
National Provider Identifier
1750337507
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00783300 Issued in NJ
Practice address
341 Railroad Ave
East Rutherford, NJ 07073-1717
Phone
(201) 438-7189
Fax
(201) 438-7174
NPI assigned
May 25, 2006
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00783300 NJ Primary

Addresses

Primary practice location

341 Railroad Ave
East Rutherford, NJ 07073-1717

Mailing address

341 Railroad Ave
East Rutherford, NJ 07073-1717
Phone (201) 438-7189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060531000040 NJ Practitioner - Physical Therapist in Private Practice 6002827318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raising the Bar Rehabilitation and Fitness LLCGroup PAC ID 0547435984, 2 clinicians

Practice addresses (Care Compare)

341 Railroad Ave
East Rutherford, NJ 07073-1717
Phone (201) 438-7189

63 Meadow Rd
Rutherford, NJ 07070-2108
Phone (201) 438-7189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00783300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raising the Bar Rehabilitation and Fitness LLC Physical Therapist CurrentSince Sep 19, 2011 Accepting new patients
Professional Advantage Nutrition and Fitness, LLC PastSince Sep 1, 2012 Accepting new patients
Mam Orthopaedics, PA PastSince Oct 18, 2010 Accepting new patients
MCRC Physical Therapy, LLC Physical Therapist PastSince May 19, 2008 Accepting new patients

Locations

341 Railroad Ave
East Rutherford, NJ 07073
Phone (201) 438-7189

63 Meadow Rd
Rutherford, NJ 07070
Phone (201) 438-7189

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1750337507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 RAILROAD AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731717",
            "telephone_number": "201-438-7189",
            "fax_number": "201-438-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 RAILROAD AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731717",
            "telephone_number": "201-438-7189",
            "fax_number": "201-438-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00783300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.