Individual provider Active NPI

Christina May Eidi, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1174161533
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27749 Issued in MD
Practice address
10200 Old Columbia Rd Ste C
Columbia, MD 21046-2364
Phone
(410) 290-4480
NPI assigned
Dec 17, 2019
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18728 CO
Physical Therapist 225100000X PT872565 DC
Physical Therapist 225100000X 27749 MD Primary
Orthopedic Physical Therapist 2251X0800X PT872565 DC

Addresses

Primary practice location

10200 Old Columbia Rd Ste C
Columbia, MD 21046-2364

Mailing address

10200 Old Columbia Rd Ste C
Columbia, MD 21046-2364
Phone (410) 290-4480

Other practice location 1

1001 Connecticut Ave NW Ste 330
Washington, DC 20036-5591
Phone (202) 223-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021004011 MD Practitioner - Physical Therapist in Private Practice 9234567652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touchstone Therapy and WellnessGroup PAC ID 6901094275, 3 clinicians

Practice addresses (Care Compare)

10200 Old Columbia Rd
Suite C
Columbia, MD 21046-2364
Phone (410) 290-4480

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27749MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Therapy & Wellness CurrentSince Oct 1, 2024 Accepting new patients

Locations

10200 Old Columbia Rd
Ste C
Columbia, MD 21046
Phone (410) 290-4480

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1174161533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 OLD COLUMBIA RD STE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462364",
            "telephone_number": "410-290-4480",
            "fax_number": "855-300-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 OLD COLUMBIA RD STE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462364",
            "telephone_number": "410-290-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Connecticut Ave NW Ste 330",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365591",
            "country_code": "US",
            "telephone_number": "202-223-8500",
            "fax_number": "202-223-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIDI",
        "first_name": "CHRISTINA",
        "middle_name": "MAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18728",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872565",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27749",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": "PT872565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.