Individual provider Active NPI

Christina A Doyle, PT

  • Physical Therapist
  • Pacific Grove, CA
National Provider Identifier
1053489047
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25538 Issued in CA
Practice address
610 Forest Ave
Pacific Grove, CA 93950-4221
Phone
(831) 655-9881
Fax
(831) 655-9883
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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 PT25538 CA Primary

Addresses

Primary practice location

610 Forest Ave
Pacific Grove, CA 93950-4221

Mailing address

610 Forest Ave
Pacific Grove, CA 93950-4221
Phone (831) 655-9881

Other names 1

  • Christina A Gibowicz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000918 CA Practitioner - Physical Therapist in Private Practice 6002852753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25538CAMDPharmacist
PT25538CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Sport Physical Therapy Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Axis Physical Therapy Physical Therapist PastSince Jan 1, 1999 Accepting new patients
Krpata Sports Therapy, Inc. Physical Therapist PastSince Feb 15, 2016 Accepting new patients
Ryan Ranch Physical Therapy, Inc PastSince Oct 15, 2002 Accepting new patients

Locations

26625 Carmel Center Pl
Ste 200
Carmel, CA 93923
Phone (831) 622-0599

Organizations & group practices 4

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1053489047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FOREST AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504221",
            "telephone_number": "831-655-9881",
            "fax_number": "831-655-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FOREST AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504221",
            "telephone_number": "831-655-9881",
            "fax_number": "831-655-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GIBOWICZ",
            "middle_name": "A",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.