Active NPI
Christopher Phillips, P.T.
- Physical Therapist
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008299
- Practice address
- 2 Trap Falls Rd Ste 404
Shelton, CT 06484 - Phone
- (203) 734-7900
- Fax
- (203) 513-3269
- NPI assigned
- Jul 20, 2006
- Last updated
- Jan 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015609L | PA | |
| Physical Therapist | 225100000X | 008299 | CT | Primary |
Addresses
Primary practice location
2 Trap Falls Rd Ste 404
Shelton, CT 06484
Mailing address
2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622
Phone (203) 734-7900
Other practice location 1
512 Saybrook Road
Suite 101, Lower level
Middletown, CT 06457
Phone (860) 343-5997
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3V1094 | Other | CT | PHS HEALTHNET |
| 7876348 | Other | CT | AETNA |
| 080008299CT01 | Other | CT | BCBS |
| 761899 | Other | CT | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Trap Falls Rd
Suite 404
Shelton, CT 06484-7622
Phone (203) 734-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008299 | CT | MD | Physical Therapist |
| PT015609L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Orthopaedic Specialists LLC | Current | Accepting new patients | |
| Valley Orthopaedic Specialists, LLC | Current | Accepting new patients | |
| Middlesex Hospital | Past | Accepting new patients |
Locations
111 Wakelee Ave
Ansonia, CT 06401
Phone (203) 308-2781
144 Oxford Rd
Oxford, CT 06478
Phone (203) 734-7900
220 Main St
Ste 1F
Oxford, CT 06478
Phone (203) 734-7900
2 Trap Falls Rd
Ste 404
Shelton, CT 06484
Phone (203) 734-7900
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70818
Organizations & group practices 3
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.
-
- Specialist
- Shelton, CT
- NPI 1083794796
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1699129957
-
dba Middlesex Hospital Homecare and Hospice
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1760402184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 404",
"city": "SHELTON",
"state": "CT",
"postal_code": "064847622",
"telephone_number": "203-734-7900",
"fax_number": "203-513-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 404",
"city": "SHELTON",
"state": "CT",
"postal_code": "06484",
"telephone_number": "203-734-7900",
"fax_number": "203-513-3269"
}
],
"practiceLocations": [
{
"address_1": "512 Saybrook Road",
"address_2": "Suite 101, Lower level",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "06457",
"country_code": "US",
"telephone_number": "860-343-5997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CHRISTOPHER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015609L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS HEALTHNET",
"identifier": "3V1094",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7876348",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "080008299CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "761899",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.