Individual provider Active NPI

Christopher Michael Disisto Sr., PT DPT

  • Orthopedic Physical Therapist
  • Batesburg Leesville, SC
National Provider Identifier
1760628002
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
10902 Issued in SC
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.

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

LicenseStateTypeSpecialty
10902SCMDPharmacist
030746NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 10902 SC Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.