Individual provider Active NPI

Christine Jo Bigham, MPT

  • Physical Therapist
  • Fort Belvoir, VA
National Provider Identifier
1043201122
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21036 Issued in CA
Practice address
9140 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703
Phone
(703) 799-1200
NPI assigned
Oct 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210864 VA
Physical Therapist 225100000X 21036 CA Primary

Addresses

Primary practice location

9140 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703

Mailing address

3120 McGeorge Ter
Alexandria, VA 22309-2128
Phone (573) 855-0609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200307000133 KS Practitioner - Physical Therapist in Private Practice 4183052020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21036CAMDPhysical Therapist
2305210864VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minds Matter, LLC CurrentSince Feb 12, 2020 Accepting new patients

Locations

7819 Conser Pl
Overland Park, KS 66204
Phone (913) 789-9900

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.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043201122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MCGEORGE TER",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092128",
            "telephone_number": "573-855-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 BELVOIR WOODS PKWY",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602703",
            "telephone_number": "703-799-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGHAM",
        "first_name": "CHRISTINE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210864",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.