DR. CHRISTIAN CHARLES ROBERTOZZI (NPI# 1093153173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093153173 |
| Entity Type | Individual |
| Full Name | DR. CHRISTIAN CHARLES ROBERTOZZI |
| Credential | PT, DPT, OCS |
| Practice Address |
907 Se Village Loop Ste 5 Bentonville AR 72712-2229 |
| Practice Telephone | 4794029400 |
| Practice Fax Number | 4794315098 |
| Mailing Telephone | 4792686040 |
| Mailing Fax Number | 4794315098 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT4240 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316885 | Christian Anthony Robertozzi | Podiatrist | 222 High St, Ste 201, Newton, NJ 07860-9612 | 2005-06-17 |
| Street Address |
907 SE VILLAGE LOOP STE 5 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497233472 | Kyle Roliard | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2018-08-01 |
| 1477058121 | Institute for Advanced Medicine, Pa | Clinic/Center | 907 Se Village Loop Ste 5, Bentonville, AR 72712-4320 | 2018-03-26 |
| 1437696440 | Bentonville Physical Therapy Specialists | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437696440 | Bentonville Physical Therapy Specialists | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007841 | Branden Shane Blume | Physical Therapist | 5300 S Southern Hills Ct # 200, Rogers, AR 72758-3500 | 2020-09-15 |
| 1154848133 | Zach Brown | Physical Therapist | 4540 Jfk Blvd, North Little Rock, AR 72116-7309 | 2017-08-29 |
| 1275933772 | Haley Mourot | Physical Therapist | 100 Walmart Dr Ste 5, Morrilton, AR 72110-4525 | 2014-09-03 |
| 1023320132 | Rachael Lee Cummins Owens | Physical Therapist | 1065 Clayton St Ste 9, Conway, AR 72032-4335 | 2010-07-06 |
| 1275605727 | Brian Paul Doorley | Physical Therapist | 16140 N Arrowhead Fountain Center Drive, Suite 105, Peoria, AR 85382 | 2006-11-13 |
| 1467554964 | Bryan Nathaniel Grubbs | Physical Therapist | 1200 Old Warren Road, Monticello, AR 71655-3954 | 2006-09-04 |
| 1740243559 | Anna Christine Turner-massanelli | Physical Therapist | 2113 Watts Road, Jordan Physical Therapy, Benton, AR 71901 | 2006-04-11 |
| 1124017058 | Rowdy Kelly | Physical Therapist | 200 N College St, Mountain Home, AR 72653-3654 | 2005-10-13 |
| 1750865044 | Ruth Ross | Physical Therapist | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2018-09-21 |
| 1497238851 | Montana Chapman | Physical Therapist | 10014 N Rodney Parham Rd Ste 103, Little Rock, AR 72227-5598 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.