Christina Michelle Whigham, PTA
Individual provider Active NPI Physical Therapy Assistant · Folkston, GA
NPI 1013457076 · NPPES record last updated Feb 24, 2017
Key facts
- NPI
- 1013457076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA003598 (GA)
- Practice address
- 215 First St
Folkston, GA 31537-4643 - Phone
- (912) 496-7428
- NPI assigned
- Feb 24, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA23786 | FL | MD | Physical Therapy Assistant |
| PTA003598 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA003598 | GA | Yes |
| Physical Therapy Assistant | 225200000X | PTA23786 | FL |
Addresses
Primary practice location
215 First St
Folkston, GA 31537-4643
Mailing address
114 Sabinas Way
Saint Marys, GA 31558-3421
Phone (904) 334-5378
Other providers in Folkston, GA
All providers in Folkston, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.