Provider Demographics
NPI:1760102586
Name:RIPBERGER, CHRISTOPHER CARL (PT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CARL
Last Name:RIPBERGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BIRKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8942
Mailing Address - Country:US
Mailing Address - Phone:336-346-6186
Mailing Address - Fax:
Practice Address - Street 1:2209 ASSOCIATE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-8123
Practice Address - Country:US
Practice Address - Phone:919-322-0049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP21534225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist