Christopher Andrew Standland, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA7035 Issued in MS

Practice address

321 Flora Gene Ave W Ste D
Wiggins, MS 39577-5010

Phone

(601) 523-1994

Fax

(601) 523-1995

NPI assigned

Feb 11, 2021

Sex

Male

Sole proprietor

No

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.

• Flint Creek Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Wiggins, MS
  • NPI 1972028520
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2021.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1841883709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FLORA GENE AVE W STE D",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395775010",
            "telephone_number": "015-231-9946",
            "fax_number": "601-523-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FLORA GENE AVE W STE D",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395775010",
            "telephone_number": "601-523-1994",
            "fax_number": "601-523-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDLAND",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA7035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wiggins, MS
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.