Individual provider Active NPI

Christopher Rush, D.O.M. A.P.

  • Acupuncturist
  • St Petersburg, FL
National Provider Identifier
1942537691
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2115 Issued in FL
Practice address
2121 5TH Ave N
St Petersburg, FL 33713
Phone
(407) 505-7904
Fax
(407) 604-6416
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2115 FL Primary

Addresses

Primary practice location

2121 5TH Ave N
St Petersburg, FL 33713

Mailing address

8297 Champions Gate Blvd # 330
Champions Gate, FL 33896-8387
Phone (407) 505-7904

Other practice location 1

2056 Aloma Ave Ste 100
Winter Park, FL 32792-3340
Phone (407) 520-8787

Other practice location 2

6735 Conroy Rd Ste 318
Orlando, FL 32835-3568
Phone (407) 505-7904

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP2115FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Medical LLC Acupuncturist Past 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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1942537691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 CHAMPIONS GATE BLVD # 330",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968387",
            "telephone_number": "407-505-7904",
            "fax_number": "407-604-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "407-505-7904",
            "fax_number": "407-604-6416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2056 Aloma Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923340",
            "country_code": "US",
            "telephone_number": "407-520-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6735 Conroy Rd Ste 318",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353568",
            "country_code": "US",
            "telephone_number": "407-505-7904",
            "fax_number": "407-604-6416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.M.  A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.