Individual provider Active NPI

Christine Ebdlahad, PT, DPT

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1003552126
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61688745 Issued in WA
Practice address
205 W Hampden Ave
Englewood, CO 80110-2401
Phone
(303) 789-0772
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0020203 CO
Physical Therapy Clinic/Center 261QP2000X
Physical Therapist 225100000X PT61688745 WA Primary

Addresses

Primary practice location

205 W Hampden Ave
Englewood, CO 80110-2401

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Other practice location 2

401 W Hampden Pl Ste 10
Englewood, CO 80110-2471
Phone (303) 781-7511

Other practice location 3

8101 E Lowry Blvd Ste 230
Denver, CO 80230-7195
Phone (303) 344-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MA, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220623003257 DC Practitioner - Physical Therapist in Private Practice 6204215023 Reassigns benefits to 1 organization
I20220815000356 VA Practitioner - Physical Therapist in Private Practice 6204215023 Reassigns benefits to 1 organization
I20230922003641 MA Practitioner - Physical Therapist in Private Practice 6204215023 Reassigns benefits to 2 organizations
I20250408003679 CO Practitioner - Physical Therapist in Private Practice 6204215023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

947 Worcester St
Natick, MA 01760-2032
Phone (508) 720-0258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020203COMDPhysical Therapist
PT61688745WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince May 31, 2022 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients
Physiotherapy Associates Inc Physical Therapy Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapy PastSince Nov 10, 2024 Accepting new patients
MVP Physical Therapy, LLC Physical Therapist PastSince Jun 5, 2018 Accepting new patients
Physiotherapy Associates Inc Physical Therapy Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist PastSince Nov 10, 2024 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

8101 E Lowry Blvd
Ste 230
Denver, CO 80230
Phone (303) 962-3926

1248 S Broadway
Denver, CO 80210
Phone (720) 699-9095

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

22 Mill St
Ste 406
Arlington, MA 02476
Phone (781) 646-8440

703 Granite St
Ste 3
Braintree, MA 02184

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1003552126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102401",
            "telephone_number": "303-789-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Hampden Pl Ste 10",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801102471",
            "country_code": "US",
            "telephone_number": "303-781-7511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 E Lowry Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBDLAHAD",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020203",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61688745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.