Active NPI
Christopher Paul Juneau, DPT
- Physical Therapist
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5080
- Practice address
- 4645 W Gore Blvd
Suite E
Lawton, OK 73505-6041 - Phone
- (405) 609-3620
- Fax
- (800) 506-3795
- NPI assigned
- Jan 17, 2009
- Last updated
- Jan 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009447 | GA | |
| Physical Therapist | 225100000X | 06529R | LA | |
| Physical Therapist | 225100000X | 5080 | OK | Primary |
Addresses
Primary practice location
4645 W Gore Blvd
Suite E
Lawton, OK 73505-6041
Mailing address
700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 609-3658
Other practice location 1
1400 Lera
Weatherford, OK 73096-2629
Phone (580) 772-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200646190A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
941 W I 35 Frontage Rd
132 Athletico Physical Therapy
Edmond, OK 73034-7375
Phone (405) 227-9667
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5080 | OK | MD | Family Medicine Physician |
| PT009447 | GA | MD | Physical Therapist |
| 06529R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| H2 Health Oklahoma Outpatient Clinics LLC | Physical Therapist | Current | Accepting new patients |
| Valir Outpatient Clinics LLC | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Specialists Inc | Physical Therapist | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
941 W I 35 Frontage Rd
Ste 132
Edmond, OK 73034
Phone (405) 227-9667
8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112
4645 W Gore Blvd
Ste E
Lawton, OK 73505
Phone (580) 355-6785
700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Athletico Physical Therapy
- Clinic/Center
- Oklahoma City, OK
- NPI 1871249631
Physical Therapist
-
dba H2 Health
- Physical Therapist
- Oklahoma City, OK
- NPI 1982683306
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
- Physical Therapist
- Shawnee, OK
- NPI 1245765536
-
- Physical Therapist
- Larose, LA
- NPI 1972696771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1902043557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NW 7TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021212",
"telephone_number": "405-609-3658",
"fax_number": "800-506-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 W GORE BLVD",
"address_2": "SUITE E",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056041",
"telephone_number": "405-609-3620",
"fax_number": "800-506-3795"
}
],
"practiceLocations": [
{
"address_1": "1400 Lera",
"address_purpose": "LOCATION",
"city": "Weatherford",
"state": "OK",
"postal_code": "730962629",
"country_code": "US",
"telephone_number": "580-772-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNEAU",
"first_name": "CHRISTOPHER",
"middle_name": "PAUL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-17",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009447",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06529R",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200646190A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.