Individual provider Active NPI

Christopher Cunningham, DPT

  • Orthopedic Physical Therapist
  • Herndon, VA
National Provider Identifier
1194557405
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
112 Elden St Ste a
Herndon, VA 20170-4832
Phone
(703) 481-2359
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X VA Primary

Addresses

Primary practice location

112 Elden St Ste a
Herndon, VA 20170-4832

Mailing address

112 Elden St Ste a
Herndon, VA 20170-4832
Phone (703) 481-2359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250117001423 VA Practitioner - Physical Therapist in Private Practice 8426587528 Reassigns benefits to 1 organization
I20250311002242 DC Practitioner - Physical Therapist in Private Practice 8426587528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Orthopedic Solutions LLCGroup PAC ID 1456694884, 4 clinicians

Practice addresses (Care Compare)

112 Elden St
Suite 40a
Herndon, VA 20170-4874
Phone (703) 481-2359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Solutions LLC Orthopedic CurrentSince Oct 13, 2024 Accepting new patients

Locations

44320 Premier Plz
Ste 200
Ashburn, VA 20147
Phone (571) 264-6919

112 Elden St
Ste 40A
Herndon, VA 20170
Phone (703) 481-2359

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1194557405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704832",
            "telephone_number": "703-481-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST STE A",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704832",
            "telephone_number": "703-481-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.