Individual provider Active NPI

Christina Renee Norwood, MTP, OCS

  • Physical Therapist
  • Lafayette, CA
National Provider Identifier
1164763561
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0015219 Issued in CO
Practice address
3468 Mt Diablo Blvd
B110
Lafayette, CA 94549-3957
Phone
(925) 284-6150
NPI assigned
Mar 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39928 CA
Physical Therapist 225100000X 0015219 CO Primary

Addresses

Primary practice location

3468 Mt Diablo Blvd
B110
Lafayette, CA 94549-3957

Mailing address

2696 S Colorado Blvd
Suite 420
Denver, CO 80222
Phone (909) 615-2453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013002461 CO Practitioner - Physical Therapist in Private Practice 4486890852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39928CAMDDentist
0015219COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 28, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 28, 2023 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 28, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Lafayette Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Agile Physical Therapy Inc PastSince Feb 14, 2022 Accepting new patients
Lafayette Physical Therapy, Inc. Physical Therapist PastSince Sep 1, 2019 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

Organizations & group practices 7

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": "1362787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1164763561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 S COLORADO BLVD",
            "address_2": "SUITE 420",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "909-615-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD",
            "address_2": "B110",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493957",
            "telephone_number": "925-284-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "CHRISTINA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MTP, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-09",
        "last_updated": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39928",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0015219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.