Christina Jo Tietjen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1239 Issued in SD

Practice address

323 SW 10TH St
Madison, SD 57042-3200

Phone

(605) 256-8915

Fax

(605) 256-8983

NPI assigned

May 17, 2006

Last updated

Feb 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christina Jo Straub Former name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Wellness Clinic PCGroup PAC ID 9537496054, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christina.tietjen.1@22632.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22632/brand/1/csg/1/fhir/r4

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.

• Family Wellness Clinic PC

  dba Family Wellness Clinic

  • Primary Care Clinic/Center
  • Brookings, SD
  • NPI 1588223440
  Medicare reassignment Care Compare group NPD
• Goodcare Athome Rehab, LLC

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1891190377
  Medicare reassignment NPD
• Pro PT, Inc.

  • Physical Therapist
  • Brookings, SD
  • NPI 1053414235
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1205888054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-8915",
            "fax_number": "605-256-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-8915",
            "fax_number": "605-256-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETJEN",
        "first_name": "CHRISTINA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5835470",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "STRAUB",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Spanier, PA-C
• Janie Marie Stein, PTA
• Jody Kay Streff, MSPT
• Robert J Summerer, D.O.
• Lindsay R Symens, CNP
• Carter Tifft
• Turning Point Behavioral Health PLLC
• Karla Joy Vandenbosch, PT
• Misty Dawn Wells, D.C.
• Alyssa Shiann West, COTA

• Physical Therapist in Madison, SD
• Providers in Madison, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.