Christina Dimichele, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT023875 Issued in PA

Practice address

1151 N 3Rd St
Apt 217
Philadelphia, PA 19123-1573

Phone

(610) 304-2042

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Play at Home Physical Therapy LLC

  • Pediatric Physical Therapist
  • Ardmore, PA
  • NPI 1629618707

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1144757808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N 3RD ST",
            "address_2": "APT 217",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231573",
            "telephone_number": "610-304-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N 3RD ST",
            "address_2": "APT 217",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231573",
            "telephone_number": "610-304-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMICHELE",
        "first_name": "CHRISTINA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023875",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT023875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marleah N Dimenna, MSN, FNP-C, OCN
• Dimensional Health Care Services, Inc
• Dimensions Group Services, LLC.
• Marla Dimercurio, LCSW
• Gioia Dimicco, LPC, ATR-BC
• Steven G Dimitriou, DO
• Vasil Dimitrov Dimitrov, PT
• Boryana Dimitrova, DMD
• Taylor Dimmerling, MS, RD, LDN
• Blerta Dimo, MD

• Pediatric Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.