Individual provider Active NPI

Christen E Wilson, MSPT

  • Physical Therapist
  • Griffin, GA
National Provider Identifier
1982815759
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003792 Issued in GA
Practice address
141 Futral Rd
Griffin, GA 30224-7455
Phone
(770) 229-5511
Fax
(770) 233-0995
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT003792 GA Primary

Addresses

Primary practice location

141 Futral Rd
Griffin, GA 30224-7455

Mailing address

141 Futral Rd
Griffin, GA 30224-7455
Phone (770) 229-5511

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
PT003792GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Rehab, LLC Current Accepting new patients
Rainbow Rehab LLC Current Accepting new patients
Stepping Stones Educational Therapy Center Physical Therapist Past Accepting new patients

Locations

141 Futral Rd
Griffin, GA 30224
Phone (678) 429-0272

Organizations & group practices 3

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982815759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FUTRAL RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302247455",
            "telephone_number": "770-229-5511",
            "fax_number": "770-233-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 FUTRAL RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302247455",
            "telephone_number": "770-229-5511",
            "fax_number": "770-233-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTEN",
        "middle_name": "E",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.