Individual provider Active NPI

Christopher Michael Richter, PT, DPT

  • Physical Therapist
  • Wayland, MI
National Provider Identifier
1942728043
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018415 Issued in MI
Practice address
709 W Superior St
Wayland, MI 49348-1226
Phone
(269) 792-4440
Fax
(616) 965-2475
NPI assigned
Sep 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 5501018415 MI Primary

Addresses

Primary practice location

709 W Superior St
Wayland, MI 49348-1226

Mailing address

510 Michigan Ave
Charlevoix, MI 49720-1808
Phone (616) 460-3969

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
9999SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy, LLC Current Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 23, 2021 Accepting new patients
Borealis Chiropractic Inc CurrentSince Sep 14, 2021 Accepting new patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients
Revolution Sport & Spine Therapy LLC Physical Therapist CurrentSince Sep 14, 2021 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Northern Physical Therapy PC Physical Therapist PastSince Jul 24, 2022 Accepting new patients
Ivyrehab Northern PT, LLC PastSince Jul 24, 2022 Accepting new patients

Locations

35249 Kenai Spur Hwy
Ste C
Soldotna, AK 99669
Phone (907) 420-0836

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

4210 E Baseline Rd
Ste 106
Mesa, AZ 85206
Phone (480) 503-2373

10861 E Baseline Rd
Ste A105
Mesa, AZ 85209
Phone (520) 231-1360

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

400 Rounds Dr
Fenton, MI 48430
Phone (810) 629-0530

319 S Bridge St
Linden, MI 48451
Phone (810) 735-0010

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

Organizations & group practices 10

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942728043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MICHIGAN AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201808",
            "telephone_number": "616-460-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W SUPERIOR ST",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493481226",
            "telephone_number": "269-792-4440",
            "fax_number": "616-965-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.