Individual provider Active NPI

Christopher Robert Nephew, PT, DPT

  • Physical Therapist
  • Kent, WA
National Provider Identifier
1871707620
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 60111917 Issued in WA
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

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1145852TXMDPhysical Therapist
PT 60111917WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince May 14, 2018 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.