Individual provider Active NPI

Christopher Adam Kottwitz, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1902327794
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1291231 Issued in TX
Practice address
2921 Lackland Rd Ste 101
Fort Worth, TX 76116-4173
Phone
(210) 216-6367
NPI assigned
Jun 30, 2017
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 1291231 TX Primary

Addresses

Primary practice location

2921 Lackland Rd Ste 101
Fort Worth, TX 76116-4173

Mailing address

141 Crimson Sky CT
Aledo, TX 76008-1316
Phone (210) 216-6367

Other practice location 1

141 Crimson Sky Ct
Aledo, TX 76008-1316
Phone (210) 216-6367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1291231TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CK Physical Therapy LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

2921 Lackland Rd
Ste 101
Fort Worth, TX 76116
Phone (682) 499-5630

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, 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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1902327794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CRIMSON SKY CT",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081316",
            "telephone_number": "210-216-6367",
            "fax_number": "469-532-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 LACKLAND RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761164173",
            "telephone_number": "210-216-6367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Crimson Sky Ct",
            "address_purpose": "LOCATION",
            "city": "Aledo",
            "state": "TX",
            "postal_code": "760081316",
            "country_code": "US",
            "telephone_number": "210-216-6367",
            "fax_number": "469-532-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTTWITZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1291231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.