Individual provider Active NPI

Christeen Baguilat Solang, PT

  • Physical Therapist
  • Laurel, DE
National Provider Identifier
1255651147
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002663 Issued in DE
Practice address
400 S Central Ave
Laurel, DE 19956-1571
Phone
(302) 280-6953
Fax
(302) 715-5001
NPI assigned
Jun 2, 2010
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0002663 DE Primary

Addresses

Primary practice location

400 S Central Ave
Laurel, DE 19956-1571

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other identifiers 6

IdentifierTypeStateIssuer
AC44-0053OtherDECAREFIRST
2566859OtherDEBC BS DE
1255651147MedicaidDE
80003642OtherDEAMERIHEALTH & KEYSTONE VIP
30096408OtherDEAMERIHEALTH & KEYSTONE FIRST
P01111295OtherDERAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000243 DE Practitioner - Physical Therapist in Private Practice 8820270523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

1651-53 Pulaski Hwy
Bear, DE 19701-1453
Phone (302) 834-1550

20930 N Dupont Hwy
Suite 102
Georgetown, DE 19947-1723
Phone (302) 856-7462

400 S Central Ave
Laurel, DE 19956-1571
Phone (302) 280-6953

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002663DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Mar 1, 2012 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Mar 1, 2012 Accepting new patients

Locations

400 S Central Ave
Laurel, DE 19956
Phone (302) 280-6953

120 Sandhill Dr
Ste 3
Middletown, DE 19709
Phone (302) 449-7792

1310 Middleford Rd
Ste 101
Seaford, DE 19973
Phone (302) 541-5700

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

4948 Pennell Rd
Aston, PA 19014
Phone (610) 494-8730

4301 Penn Ave
Sinking Spring, PA 19608
Phone (610) 927-4136

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, 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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1255651147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CENTRAL AVE",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561571",
            "telephone_number": "302-280-6953",
            "fax_number": "302-715-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANG",
        "first_name": "CHRISTEEN",
        "middle_name": "BAGUILAT",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "AC44-0053",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS DE",
            "identifier": "2566859",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255651147",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH & KEYSTONE VIP",
            "identifier": "80003642",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH & KEYSTONE FIRST",
            "identifier": "30096408",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01111295",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.