Individual provider Active NPI

Christena S Wichowsky, PT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1083854889
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003995A Issued in IN
Practice address
1129 Merrillvillerd
Crown Point, IN 46307
Phone
(219) 661-8008
Fax
(219) 661-8998
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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 05003995A IN Primary

Addresses

Primary practice location

1129 Merrillvillerd
Crown Point, IN 46307

Mailing address

PO Box 546
Schererville, IN 46375
Phone (219) 765-8291

Other names 1

  • Miss Christena S Gross Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000599 IN Practitioner - Physical Therapist in Private Practice 6709943236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motus Integrative Health PCGroup PAC ID 0547521650, 3 clinicians

Practice addresses (Care Compare)

1425 Eagle Ridge Dr
Schererville, IN 46375-1386
Phone (219) 322-6942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jul 11, 2017 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jul 11, 2017 Accepting new patients
Sports PT, LLC Physical Therapist Past Accepting new patients
Great Lakes Orthopedics and Sports Medicine, P.C. Physical Therapist Past Accepting new patients
Great Lakes Orthopedics & Sports Medicine, PC Past Accepting new patients

Locations

11275 Delaware Pkwy
#B
Crown Point, IN 46307
Phone (219) 304-6074

5 Broadway Plz
Peru, IN 46970
Phone (765) 327-2111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10531/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1083854889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "46375",
            "telephone_number": "219-765-8291",
            "fax_number": "219-864-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MERRILLVILLERD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-661-8008",
            "fax_number": "219-661-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHOWSKY",
        "first_name": "CHRISTENA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTENA",
            "last_name": "GROSS",
            "middle_name": "S",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.