Individual provider Active NPI

Christina Warne, PT ATC

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1043292790
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202887 Issued in VA
Practice address
9530 Cosner Dr Ste 101
Fredericksburg, VA 22408-7760
Phone
(540) 361-1830
Fax
(540) 361-1829
NPI assigned
Nov 17, 2005
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 2305202887 VA Primary

Addresses

Primary practice location

9530 Cosner Dr Ste 101
Fredericksburg, VA 22408-7760

Mailing address

5A Hutchinson Dr
Danvers, MA 01923-3777
Phone (978) 750-8188

Other identifiers 1

IdentifierTypeStateIssuer
43305030001OtherDMERC

Other names 1

  • Christina Jamison Former name

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

LicenseStateTypeSpecialty
2305202887VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialty Clinic LTD 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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1043292790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A HUTCHINSON DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233777",
            "telephone_number": "978-750-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 COSNER DR STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087760",
            "telephone_number": "540-361-1830",
            "fax_number": "540-361-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNE",
        "first_name": "CHRISTINA",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "43305030001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "JAMISON",
            "credential": "PT ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.