Christine M Licata, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017514 Issued in PA

Practice address

855 Springdale Dr Ste 110
Exton, PA 19341-2858

Phone

(484) 874-2130

Fax

(484) 874-2129

NPI assigned

Sep 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Grove Physical Therapy LLCGroup PAC ID 0749189256, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willow Grove Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Willow Grove, PA
  • NPI 1083659783

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Trinity Rehab Somerset PA

  • Physical Therapy Clinic/Center
  • Newtown, PA
  • NPI 1649898073
  Medicare reassignment NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  NPD
• Trinity Rehab Somerset PA

  • Physical Therapist
  • Wayne, PA
  • NPI 1144805722
  NPD
• Patch Technique PLLC

  • Chiropractor
  • King of Prussia, PA
  • NPI 1750816351
  NPD (past)

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1013166149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SPRINGDALE DR STE 110",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412858",
            "telephone_number": "484-874-2130",
            "fax_number": "484-874-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SPRINGDALE DR STE 110",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412858",
            "telephone_number": "484-874-2130",
            "fax_number": "484-874-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICATA",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017514",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT003062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aignae Lewis
• Antonia Lewis, MSW, LCSW
• James Lewis, DO
• Joanne Lewis, CAC
• Libby Mills Nutrition
• John Lieto Jr., O.D.
• Life in Progress Counseling, LLC
• Lifeline 2 Health
• Lighthouse Family Counseling
• Angelina Lim

• Physical Therapist in Exton, PA
• Providers in Exton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.