Individual provider Active NPI

Christine Cardogno McCallum, DPT

  • Physical Therapist
  • Northborough, MA
National Provider Identifier
1043043649
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20608 Issued in MA
Practice address
44 Bearfoot Rd Ste 150
Northborough, MA 01532-1562
Phone
(888) 810-6772
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20608 MA Primary

Addresses

Primary practice location

44 Bearfoot Rd Ste 150
Northborough, MA 01532-1562

Mailing address

37 Eunice Ave
Worcester, MA 01606-3102
Phone (508) 579-2323

Other names 1

  • Dr. Christine Alicia Cardogno Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001494 MA Practitioner - Physical Therapist in Private Practice 3173064300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multiple Sclerosis Specialty Center LLCGroup PAC ID 0244555647, 20 clinicians

Practice addresses (Care Compare)

44 Bearfoot Rd
Suite 150
Northborough, MA 01532-1562
Phone (508) 434-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20608MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multiple Sclerosis Specialty Center, LLC Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients

Locations

44 Bearfoot Rd
Ste 150
Northborough, MA 01532
Phone (508) 434-7444

179 Bear Hill Rd
Ste 105
Waltham, MA 02451
Phone (781) 895-9500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1043043649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 EUNICE AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063102",
            "telephone_number": "508-579-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BEARFOOT RD STE 150",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321562",
            "telephone_number": "888-810-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "CHRISTINE",
        "middle_name": "CARDOGNO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CARDOGNO",
            "middle_name": "ALICIA",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.