Individual provider Active NPI

Christopher David Grover

  • Physical Therapist
  • Fairfield, CA
National Provider Identifier
1922376755
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38513 Issued in CA
Practice address
3001 Dover Ave
Suite B
Fairfield, CA 94533-9795
Phone
(707) 428-1311
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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 38513 CA Primary

Addresses

Primary practice location

3001 Dover Ave
Suite B
Fairfield, CA 94533-9795

Mailing address

3001 Dover Ave
Suite B
Fairfield, CA 94533-9795
Phone (707) 428-1311

Other identifiers 1

IdentifierTypeStateIssuer
38513OtherPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709002520 CA Practitioner - Physical Therapist in Private Practice 7315272648 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1024 Robin Cir
Arroyo Grande, CA 93420-1318
Phone (805) 556-2446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
805Groverpt Physical Therapist CurrentSince Apr 6, 2024 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jun 1, 2019 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Jun 30, 2022 Accepting new patients
Vibrantcare Outpatient Rehabilitation of California Inc Past Accepting new patients
Vibrantcare Outpatient Rehabilitation of California Inc Past Accepting new patients

Locations

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

636 Atterdag Rd
Solvang, CA 93463
Phone (805) 688-3263

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 6

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1922376755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DOVER AVE",
            "address_2": "SUITE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945339795",
            "telephone_number": "707-428-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DOVER AVE",
            "address_2": "SUITE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945339795",
            "telephone_number": "707-428-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "38513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.