Provider Demographics
NPI:1720075302
Name:TORRES, CHRISTOPHER (DPT, OCS, CEAS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
Credentials:DPT, OCS, CEAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 SHADOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:TEGA CAY
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8460
Mailing Address - Country:US
Mailing Address - Phone:317-445-0769
Mailing Address - Fax:
Practice Address - Street 1:801 COX RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3453
Practice Address - Country:US
Practice Address - Phone:704-867-7455
Practice Address - Fax:704-866-9492
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05006961A225100000X
NC11142225100000X
SC69692251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000246263OtherANTHEM PIN
SC6969OtherPHYSICAL THERAPY BOARD OF SC