Active NPI
Christena S Wichowsky, PT
- Physical Therapist
- Crown Point, IN
National Provider Identifier
1083854889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05003995A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | 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
- 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.
-
- Rehabilitation Chiropractor
- Schererville, IN
- NPI 1033611702
-
- Physical Therapist
- Peru, IN
- NPI 1750764494
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Orthopaedic Surgery Physician
- Saint John, IN
- NPI 1669472270
-
- Physical Therapist
- Crown Point, IN
- NPI 1336363266
-
- Physical Therapist
- Crown Point, IN
- NPI 1760627434
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.