Individual provider Active NPI

Christiana Marie Spencer, ATS

  • Physical Therapist
  • Rio Rico, AZ
National Provider Identifier
1154895910
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30622 Issued in MD
Practice address
1279 W Frontage Rd Unit H
Rio Rico, AZ 85648-6258
Phone
(520) 375-2127
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070028020 IL
Physical Therapist 225100000X 30622 MD Primary
Physical Therapist 225100000X 13351 MN
Physical Therapist 225100000X 41502 FL
Physical Therapist 225100000X PTL27708 MA

Addresses

Primary practice location

1279 W Frontage Rd Unit H
Rio Rico, AZ 85648-6258

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

100 Needham St Fl 2
Newton, MA 02464-1500
Phone (781) 444-5141

Other practice location 2

1836 Greene Tree Rd
Pikesville, MD 21208-1381
Phone (410) 486-9992

Other practice location 3

9645 S Western Ave
Chicago, IL 60643-1722
Phone (773) 239-2734

Other practice location 4

941 Oakridge Ave
Shoreview, MN 55126-5943
Phone (651) 443-6159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240821001209 MA Practitioner - Physical Therapist in Private Practice 7315390572 Reassigns benefits to 1 organization
I20241219003335 AZ Practitioner - Physical Therapist in Private Practice 7315390572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13351MNMDClinical Social Worker
41502FLMDPhysical Therapist
PTL27708MAMDPhysical Therapist
30622MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Apex Physical Therapy, LLC CurrentSince Jan 13, 2025 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients

Locations

28620 N El Mirage Rd
Ste B102
Peoria, AZ 85383
Phone (888) 433-7993

1279 W Frontage Rd
Unit H
Rio Rico, AZ 85648
Phone (520) 375-2127

13370 E Mary Ann Cleveland Way
Ste 130
Vail, AZ 85641
Phone (520) 689-7144

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

100 Needham St
#2
Newton, MA 02464
Phone (781) 444-5141

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.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1154895910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 W FRONTAGE RD UNIT H",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856486258",
            "telephone_number": "520-375-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Needham St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024641500",
            "country_code": "US",
            "telephone_number": "781-444-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 Greene Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212081381",
            "country_code": "US",
            "telephone_number": "410-486-9992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9645 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606431722",
            "country_code": "US",
            "telephone_number": "773-239-2734",
            "fax_number": "773-239-2784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "941 Oakridge Ave",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551265943",
            "country_code": "US",
            "telephone_number": "651-443-6159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CHRISTIANA",
        "middle_name": "MARIE",
        "credential": "ATS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30622",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13351",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41502",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rico, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.