Individual provider Active NPI

Christopher Stulginsky, P.T.

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1760631576
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11759 Issued in NC
Practice address
2064A Ayrsley Town Blvd
Charlotte, NC 28273-3577
Phone
(980) 939-1580
Fax
(980) 939-1128
NPI assigned
Sep 17, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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 P11759 NC Primary

Addresses

Primary practice location

2064A Ayrsley Town Blvd
Charlotte, NC 28273-3577

Mailing address

13910 Steelecroft Farm LN
Apt 206
Charlotte, NC 28278-7508
Phone (980) 939-1580

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
P11759NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology of North Carolina, PLLC PastSince Oct 4, 2009 Accepting new patients
Islanders Physical Therapy and Rehabilitation, Inc. Past Accepting new patients
Friday Harbor Physical Therapy and Rehabilitation, Inc. Physical Therapist Past Accepting new patients

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1760631576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 STEELECROFT FARM LN",
            "address_2": "APT 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787508",
            "telephone_number": "980-939-1580",
            "fax_number": "980-939-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064A AYRSLEY TOWN BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733577",
            "telephone_number": "980-939-1580",
            "fax_number": "980-939-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULGINSKY",
        "first_name": "CHRISTOPHER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.