Individual provider Active NPI

Christopher Keith Strunk, PT,OCS

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1871769794
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4729 Hoen Ave
Suite a
Santa Rosa, CA 95405-7862
Phone
(707) 578-9230
Fax
(707) 578-1021
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4729 Hoen Ave
Suite a
Santa Rosa, CA 95405-7862

Mailing address

4729 Hoen Ave
Suite a
Santa Rosa, CA 95405-7862
Phone (707) 578-9230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503002932 CA Practitioner - Physical Therapist in Private Practice 6709226939 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20575CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Stithem & Johnson Physical Therapy, Inc. Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Stithem & Johnson Physical Therapy Inc. Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Interface Rehab, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Interface Rehab, Inc. CurrentSince Apr 16, 2024 Accepting new patients

Locations

2400 W Acacia Ave
Hemet, CA 92545
Phone (951) 492-2841

744 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300

774 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300

6574 Oakmont Dr
Ste A
Santa Rosa, CA 95409
Phone (707) 539-5256

795 Farmers Ln
Ste 10
Santa Rosa, CA 95405
Phone (707) 571-7615

Organizations & group practices 4

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1871769794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 HOEN AVE",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-578-9230",
            "fax_number": "707-578-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 HOEN AVE",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-578-9230",
            "fax_number": "707-578-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUNK",
        "first_name": "CHRISTOPHER",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PT,OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.