Provider Demographics
NPI:1073866042
Name:IPPOLITO, CHRISTOPHER (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:IPPOLITO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3569 PILOT CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-0714
Mailing Address - Country:US
Mailing Address - Phone:239-390-3978
Mailing Address - Fax:239-206-4634
Practice Address - Street 1:3569 PILOT CIR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-0714
Practice Address - Country:US
Practice Address - Phone:239-390-3978
Practice Address - Fax:239-206-4634
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist