Individual provider Active NPI

Christopher JC Reeves, DPT

  • Physical Therapist
  • Kelso, WA
National Provider Identifier
1881162170
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60888734 Issued in WA
Practice address
351 Three Rivers Dr Ste 137
Kelso, WA 98626-3193
Phone
(360) 353-5739
Fax
(360) 242-2220
NPI assigned
Nov 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 PT60888734 WA Primary

Addresses

Primary practice location

351 Three Rivers Dr Ste 137
Kelso, WA 98626-3193

Mailing address

351 Three Rivers Dr Ste 137
Kelso, WA 98626-3193
Phone (360) 353-5739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124003512 WA Practitioner - Physical Therapist in Private Practice 9133466485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ablan PT LLCGroup PAC ID 2163811720, 2 clinicians

Practice addresses (Care Compare)

351 Three Rivers Dr
Suite 137
Kelso, WA 98626-3193
Phone (360) 353-5739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ablan PT LLC Physical Therapist CurrentSince Mar 15, 2023 Accepting new patients

Locations

351 Three Rivers Dr
Ste 137
Kelso, WA 98626
Phone (360) 270-4199

Organizations & group practices 1

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1881162170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 THREE RIVERS DR STE 137",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263193",
            "telephone_number": "360-353-5739",
            "fax_number": "360-242-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 THREE RIVERS DR STE 137",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263193",
            "telephone_number": "360-353-5739",
            "fax_number": "360-242-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "CHRISTOPHER",
        "middle_name": "JC",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60888734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.