Active NPI
Christopher John Ivey, MPT,OCS
- Physical Therapist
- Temecula, CA
National Provider Identifier
1831167311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25342
- Practice address
- 31720 Temecula Pkwy
Suite 101
Temecula, CA 92592-5895 - Phone
- (951) 303-3566
- Fax
- (951) 303-3577
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25342 | CA | Primary |
Addresses
Primary practice location
31720 Temecula Pkwy
Suite 101
Temecula, CA 92592-5895
Mailing address
24630 Washington Ave
Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00287451 | Other | CA | RR MEDICARE |
| 0206948 | Other | WA | STATE OF WASHINGTON |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1831167311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31720 TEMECULA PKWY",
"address_2": "SUITE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925895",
"telephone_number": "951-303-3566",
"fax_number": "951-303-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"credential": "MPT,OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT25342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00287451",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "0206948",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.