Cristina Eldidy Khan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 22767 Issued in FL

Practice address

8895 N Military TRL
BLDG E, Suite 101
West Palm Beach, FL 33410-6220

Phone

(561) 624-1457

Fax

(561) 775-3290

NPI assigned

Jan 26, 2007

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

Networks

• Freedom Health HMO Network

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.

• Florida Institute of Training Inc Fit

  • Occupational Therapist
  • North Palm Beach, FL
  • NPI 1003112764
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1104972991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 3RD LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183547",
            "telephone_number": "561-691-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL",
            "address_2": "BLDG E, SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106220",
            "telephone_number": "561-624-1457",
            "fax_number": "561-775-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "CRISTINA",
        "middle_name": "ELDIDY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 22767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891536900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keys for Life Behavioral Health Services LLC
• Keystone ABA Services
• Mina Faysal Khalil, RPH
• Rajesh H. Khamar, M.D.
• Abdur Rob Khan, M.D.
• Habib Ur-Rehman Khan, MD
• Laila Khan
• Usman Hanif Khan, MD
• Bhogendra Khanal, MD
• Josie Mirabelli Kharitonenkov, RD

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.