Active NPI
Christopher Michael Disisto Sr., PT DPT
- Orthopedic Physical Therapist
- Batesburg Leesville, SC
National Provider Identifier
1760628002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 10902
- Practice address
- 141 E Church St Ste N
Batesburg Leesville, SC 29070-7066 - Phone
- (803) 532-3335
- Fax
- (803) 532-3337
- NPI assigned
- Dec 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Batesburg-Leesville, SC
- NPI 1376972109
-
- Rehabilitation Clinic/Center
- Camden, SC
- NPI 1427590793
-
- Rehabilitation Clinic/Center
- Lexington, SC
- NPI 1679513030
-
- Rehabilitation Clinic/Center
- Greenville, SC
- NPI 1891872941
-
- Rehabilitation Clinic/Center
- Lexington, SC
- NPI 1295328326
-
- Rehabilitation Clinic/Center
- Easley, SC
- NPI 1639686504
-
- Rehabilitation Clinic/Center
- Simpsonville, SC
- NPI 1689245607
-
- Rehabilitation Clinic/Center
- West Columbia, SC
- NPI 1750946067
-
- Physical Therapy Clinic/Center
- Powdersville, SC
- NPI 1912439944
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10902 | SC | MD | Pharmacist |
| 030746 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 10902 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
141 E Church St Ste N
Batesburg Leesville, SC 29070-7066
Mailing address
141 E Church St Ste N
Batesburg Leesville, SC 29070-7066
Phone (803) 532-3335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2024.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1760628002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E CHURCH ST STE N",
"city": "BATESBURG LEESVILLE",
"state": "SC",
"postal_code": "290707066",
"telephone_number": "803-532-3335",
"fax_number": "803-532-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E CHURCH ST STE N",
"city": "BATESBURG LEESVILLE",
"state": "SC",
"postal_code": "290707066",
"telephone_number": "803-532-3335",
"fax_number": "803-532-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISISTO",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-16",
"last_updated": "2024-12-17",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "10902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batesburg Leesville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.