Healthcare Provider Details

I. General information

NPI: 1326838210
Provider Name (Legal Business Name): CHRISTIAN CHASTEEN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 MIDDLE RD STE B
COLUMBUS IN
47203-4483
US

IV. Provider business mailing address

3075 MIDDLE RD STE B
COLUMBUS IN
47203-4483
US

V. Phone/Fax

Practice location:
  • Phone: 812-372-7023
  • Fax: 812-372-7027
Mailing address:
  • Phone: 812-372-7023
  • Fax: 812-372-7027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP054206T
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP058954T
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT004834
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: