Christine Bertaud Gaiden, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-010604 Issued in IL

Practice address

801 S Milwaukee Ave
Ste. 283
Libertyville, IL 60048-3204

Phone

(847) 573-4390

Fax

(847) 549-6920

NPI assigned

Aug 8, 2006

Last updated

Jun 2, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1225048028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WRIGHTWOOD TER",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483363",
            "telephone_number": "847-367-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MILWAUKEE AVE",
            "address_2": "STE. 283",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483204",
            "telephone_number": "847-573-4390",
            "fax_number": "847-549-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDEN",
        "first_name": "CHRISTINE",
        "middle_name": "BERTAUD",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abigail Ganong

• Physical Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.