Active NPI
Christina L Dively, DPT
- Physical Therapist
- Roaring Spring, PA
National Provider Identifier
1033315460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018726
- Practice address
- 7448 Woodbury Pike
Roaring Spring, PA 16673-1600 - Phone
- (812) 224-5566
- Fax
- (814) 224-2474
- NPI assigned
- Jun 22, 2007
- Last updated
- Oct 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018726 | PA | Primary |
Addresses
Primary practice location
7448 Woodbury Pike
Roaring Spring, PA 16673-1600
Mailing address
310 Penn St
Suite 103
Hollidaysburg, PA 16648-2044
Phone (814) 695-2923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018726 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Care Health Systems Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Altoona, PA
- NPI 1205821238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1033315460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 PENN ST",
"address_2": "SUITE 103",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166482044",
"telephone_number": "814-695-2923",
"fax_number": "814-695-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7448 WOODBURY PIKE",
"city": "ROARING SPRING",
"state": "PA",
"postal_code": "166731600",
"telephone_number": "812-224-5566",
"fax_number": "814-224-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVELY",
"first_name": "CHRISTINA",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roaring Spring, PA
- Rachele Delmastro, LCSW
- Maria Nicole Dennis, PHYSICAL THERAPIST
- Steven L Diehl, M.D.
- Jessica Lynn Dilling, CRNP
- John Michael Dinger, M.D.
- Danielle L. Dively, PSY. D
- DLP Conemaugh Physician Practices LLC (CPP - Emergency Physicians - Meyersdale)
- Pauline C Dobson, PT
- Clay Walter Dodson, PT
- Steven Dodson, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.