Individual provider Active NPI

Philip Michael Christ

  • Physical Therapist
  • Kailua, HI
National Provider Identifier
1902967532
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1942 Issued in HI
Practice address
40 Aulike Street
Suite 416
Kailua, HI 96734-2707
Phone
(808) 375-9321
Fax
(808) 230-2375
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 PT-1942 HI Primary

Addresses

Primary practice location

40 Aulike Street
Suite 416
Kailua, HI 96734-2707

Mailing address

150 Hamakua Dr
#418
Kailua, HI 96734-2825
Phone (808) 375-9321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520001027 HI Practitioner - Physical Therapist in Private Practice 2062453897 Practice locations: Kailua, HI

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Aulike St
Suite 416
Kailua, HI 96734-2757
Phone (808) 375-9321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1942HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Rufino, RPT LLC Physical Therapist PastSince Mar 18, 2008 Accepting new patients

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1902967532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAMAKUA DR",
            "address_2": "#418",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342825",
            "telephone_number": "808-375-9321",
            "fax_number": "808-230-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE STREET",
            "address_2": "SUITE 416",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342707",
            "telephone_number": "808-375-9321",
            "fax_number": "808-230-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRIST",
        "first_name": "PHILIP",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.