Christopher J Seagrave, PT, SCS, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2566 Issued in ID

Practice address

533 S Rivershore LN
Ste 120
Eagle, ID 83616-4979

Phone

(208) 938-8020

Fax

(208) 938-8016

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CSRM LLC 22 clinicians

Sawtooth Physical Therapy 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CSRM LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1669132353

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sawtooth Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1013206002

  ID, Physical Therapist

  Medicare reassignment Care Compare group NPD
• CSRM LLC

  • Hand Occupational Therapist
  • Nampa, ID
  • NPI 1306583109
  Care Compare group NPD
• Sawtooth Physical Therapy

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1003582040
  Care Compare group NPD
• CSRM LLC

  • Hand Occupational Therapist
  • Boise, ID
  • NPI 1083337711
  Care Compare group
• CSRM LLC

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1588301386
  Care Compare group
• Sawtooth Physical Therapy

  • Customized Equipment (DME)
  • Nampa, ID
  • NPI 1427659408
  Care Compare group
• Physiotherapy P.a.

  • Physical Therapist
  • Eagle, ID
  • NPI 1306852850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1821101064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049066",
            "telephone_number": "208-938-8020",
            "fax_number": "208-938-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S RIVERSHORE LN",
            "address_2": "STE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164979",
            "telephone_number": "208-938-8020",
            "fax_number": "208-938-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PT, SCS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT2566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "SE5492",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60017398",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "118290",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8334195",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A005",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821101064",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8923419",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sawyer Jacob Schuljak, MD
• Haylee Schwers
• Jeffrey E. Schwers, O.D.
• Joslyn Sciarrino, FNP-C
• Michael Andrew Scott, DO
• Seagull Home Health, LLC
• Seagull Hospice, LLC
• Alexis Ann Searle, OT
• Desiree Ann Self, MS
• Sensory Bin Pediatric Therapy Clinic, PLLC

• All providers in Eagle, ID
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.