Provider Demographics
NPI:1962863175
Name:WEBB, CHRISTOPHER A (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:WEBB
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 1:1659 STATE HWY 46 W
Mailing Address - Street 2:STE 115. BOX# 486
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4745
Mailing Address - Country:US
Mailing Address - Phone:830-837-2777
Mailing Address - Fax:
Practice Address - Street 1:1165 NUTMEG TRL
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-2959
Practice Address - Country:US
Practice Address - Phone:830-837-2777
Practice Address - Fax:830-310-7901
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251X0800X
COPTL0013164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4205163Medicaid