Individual provider Active NPI

Christi Bjornberg, DPT

  • Pediatric Physical Therapist
  • Conway, AR
National Provider Identifier
1073845657
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
3534 Issued in AR
Practice address
306 Salem Rd
Conway, AR 72034-6159
Phone
(501) 581-6045
Fax
(501) 514-3722
NPI assigned
Feb 5, 2010
Last updated
May 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 3534 AR Primary

Addresses

Primary practice location

306 Salem Rd
Conway, AR 72034-6159

Mailing address

PO Box 933
Greenbrier, AR 72058-0933
Phone (501) 581-6045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216000424 AR Practitioner - Physical Therapist in Private Practice 7517379597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3534ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder, Inc. CurrentSince Nov 2, 2020 Accepting new patients
Pathfinder, Inc. Past Accepting new patients
Therapy 4 Kids Past Accepting new patients

Locations

2520 W Main St
Jacksonville, AR 72076

905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302

Organizations & group practices 3

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": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1073845657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720580933",
            "telephone_number": "501-581-6045",
            "fax_number": "501-514-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SALEM RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346159",
            "telephone_number": "501-581-6045",
            "fax_number": "501-514-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORNBERG",
        "first_name": "CHRISTI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "3534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.