Active NPI
Christopher Robert Nephew, PT, DPT
- Physical Therapist
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 60111917
- Practice address
- 13106 SE 240TH St
Suite, 10
Kent, WA 98031-9210 - Phone
- (956) 206-1057
- NPI assigned
- May 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1145852 | TX | |
| Physical Therapist | 225100000X | PT 60111917 | WA | Primary |
Addresses
Primary practice location
13106 SE 240TH St
Suite, 10
Kent, WA 98031-9210
Mailing address
13106 SE 240TH St
Suite, 10
Kent, WA 98031-9210
Phone (956) 206-1057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091028000658 | WA | Practitioner - Physical Therapist in Private Practice | 9739226481 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145852 | TX | MD | Physical Therapist |
| PT 60111917 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Highline Physical Therapy Group | Physical Therapist | Past | Accepting new patients |
| Outpatient Physical Therapy & Sports Rehabilitation Inc PC | Physical Therapist | Past | Accepting new patients |
| RGV-Nueces Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
| Kent Easthill Physical Therapy PS | Past | Accepting new patients |
Locations
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
125 16th Ave E
#157
Seattle, WA 98112
201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545
125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- cnephew83828@ghc.direct-ci.net
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
WA
-
- Physical Therapist
- Burien, WA
- NPI 1477797991
-
- Orthopedic Physical Therapist
- Kent, WA
- NPI 1992856611
-
- Physical Therapist
- Maple Valley, WA
- NPI 1730394420
-
- Physical Therapist
- San Antonio, TX
- NPI 1487658050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1871707620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13106 SE 240TH ST",
"address_2": "SUITE, 10",
"city": "KENT",
"state": "WA",
"postal_code": "980319210",
"telephone_number": "956-206-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13106 SE 240TH ST",
"address_2": "SUITE, 10",
"city": "KENT",
"state": "WA",
"postal_code": "980319210",
"telephone_number": "956-206-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEPHEW",
"first_name": "CHRISTOPHER",
"middle_name": "ROBERT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1145852",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 60111917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.