Individual provider Active NPI

Christopher Phillips, P.T.

  • Physical Therapist
  • Shelton, CT
National Provider Identifier
1760402184
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008299 Issued in CT
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3V1094OtherCTPHS HEALTHNET
7876348OtherCTAETNA
080008299CT01OtherCTBCBS
761899OtherCTCONNECTICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000608 CT Practitioner - Physical Therapist in Private Practice 4587725353 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
008299CTMDPhysical Therapist
PT015609LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Orthopaedic Specialists LLC CurrentSince May 19, 2014 Accepting new patients
Valley Orthopaedic Specialists, LLC CurrentSince May 19, 2014 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.