Individual provider Active NPI

Christopher Michael O'Brien, DPT

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1881009272
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10042 Issued in TN
Practice address
1113 N Castle Heights Ave
Suite D
Lebanon, TN 37087-5640
Phone
(615) 965-9000
Fax
(615) 965-9001
NPI assigned
Jun 25, 2014
Last updated
Jun 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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 10042 TN Primary

Addresses

Primary practice location

1113 N Castle Heights Ave
Suite D
Lebanon, TN 37087-5640

Mailing address

1113 N Castle Heights Ave
Suite D
Lebanon, TN 37087-5640
Phone (615) 965-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805000849 TN Practitioner - Physical Therapist in Private Practice 4284851965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2433 Regan Rd
The Lantern at Morning Pointe Hardin Valley
Knoxville, TN 37931-3706
Phone (865) 290-3586

8458 Gleason Dr
Knoxville, TN 37919-5482
Phone (865) 474-9837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1881009272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 N CASTLE HEIGHTS AVE",
            "address_2": "SUITE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370875640",
            "telephone_number": "615-965-9000",
            "fax_number": "615-965-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 N CASTLE HEIGHTS AVE",
            "address_2": "SUITE D",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370875640",
            "telephone_number": "615-965-9000",
            "fax_number": "615-965-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.