Individual provider Active NPI

Christine McLaughlin, PTA

  • Physical Therapy Assistant
  • Gainesville, FL
National Provider Identifier
1235645854
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PT30516 Issued in FL
Practice address
2839 SW 87TH Dr
Gainesville, FL 32608-9376
Phone
(352) 505-6665
Fax
(352) 226-8744
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PT30516 FL Primary

Addresses

Primary practice location

2839 SW 87TH Dr
Gainesville, FL 32608-9376

Mailing address

2783 SW 87TH Dr.
102
Gainesville, FL 32608
Phone (352) 505-6665

Other practice location 1

2783 SW 87th Dr Ste 102
Gainesville, FL 32608-9375
Phone (352) 505-6665

Other identifiers 1

IdentifierTypeStateIssuer
PT30516OtherFLPHYSICAL THERAPY ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT30516FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetix Physical Therapy PastSince Mar 5, 2023 Accepting new patients
Kinetix Physical Therapy P a PastSince Feb 12, 2007 Accepting new patients

Organizations & group practices 2

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235645854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 SW 87TH DR.",
            "address_2": "102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2783 SW 87th Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326089375",
            "country_code": "US",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "CHRISTINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PT30516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT",
            "identifier": "PT30516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.