Individual provider Active NPI

Christina Greenwood, PT, DPT, ATC

  • Physical Therapist
  • MC Lean, VA
National Provider Identifier
1093373755
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212813 Issued in VA
Practice address
6849 Old Dominion Dr Ste 330
MC Lean, VA 22101-3791
Phone
(703) 848-9333
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 2305212813 VA Primary

Addresses

Primary practice location

6849 Old Dominion Dr Ste 330
MC Lean, VA 22101-3791

Mailing address

334 Lazywood CT
Millersville, MD 21108-2418
Phone (410) 279-3840

Other names 1

  • Christina Shields Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814000019 DC Practitioner - Physical Therapist in Private Practice 2567799521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
George Washington University School of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Pro Motion Physical Therapy, LLCGroup PAC ID 3971402348, 7 clinicians

Practice addresses (Care Compare)

6849 Old Dominion Dr
Suite 330
MC Lean, VA 22101-3791
Phone (703) 848-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Motion Physical Therapy, LLC CurrentSince Jun 13, 2019 Accepting new patients

Locations

6849 Old Dominion Dr
Ste 330
McLean, VA 22101
Phone (703) 848-9333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1093373755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 LAZYWOOD CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082418",
            "telephone_number": "410-279-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 330",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013791",
            "telephone_number": "703-848-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "CHRISTINA",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SHIELDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.