Christine Yvonne Balderas, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT14911 Issued in CA

Practice address

1055 Tierra del Rey
#C
Chula Vista, CA 91910-7875

Phone

(619) 656-5102

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Manual Orthopedic Physical Therapy, Inc.

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1982651535

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104920636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 TIERRA DEL REY",
            "address_2": "#C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TIERRA DEL REY",
            "address_2": "#C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107875",
            "telephone_number": "619-656-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "CHRISTINE",
        "middle_name": "YVONNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT14911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT14911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zuleica Ines Balam
• Balance and Bloom Family Therapy Inc.
• Angelica Mae Balbuena
• Ashley Elizabeth Balcazar-Medina
• Balden Gallo Michels Prof Dental Corp
• Rodolfo Balderas
• Analicia Baldonado, PA-C
• Krystin Ashley Baldwin
• Courtney Leigh Bale, OTR/L
• Jean-Michel Balensi, CCMA, CPCP.

• Orthopedic Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.