Provider Demographics
NPI:1598361644
Name:MERCHANT, CHRISTOPHER RAJAN (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RAJAN
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 LARK LN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-1902
Mailing Address - Country:US
Mailing Address - Phone:971-340-8311
Mailing Address - Fax:
Practice Address - Street 1:404 LARK LN
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-1902
Practice Address - Country:US
Practice Address - Phone:971-340-8311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070025606225100000X, 2251S0007X, 2251X0800X
TN11800225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL070025606OtherPHYSICAL THERAPY LICENSE
TN11800OtherPHYSICAL THERAPY LICENSE
MA22477OtherPHYSICAL THERAPY LICENSE