Christian Robelle Villanueva Salva, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011910A Issued in IN

Practice address

3509 S Glasgow Cir
Bloomington, IN 47403-7900

Phone

(812) 269-2679

NPI assigned

Jan 7, 2008

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christian Villon Villanueva Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Theraplay LLC

  • Physical Therapist
  • Bloomington, IN
  • NPI 1598708109
  NPD

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1316122500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 S GLASGOW CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474037900",
            "telephone_number": "812-269-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 S GLASGOW CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474037900",
            "telephone_number": "812-269-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVA",
        "first_name": "CHRISTIAN ROBELLE",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023848",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011910A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "VILLANUEVA",
            "middle_name": "VILLON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Saini, MD
• Amanda Grella Salatin, LCSW, LCAC
• Ahmed M Saleh, MD
• Aria Salisbury, RBT
• Chad Daniel Salomon, ATS
• John R Salva, PT
• Georgia Salvino
• Sam's Club Optical (Sam's Club Optical 30-6437)
• Sam's Club Pharmacy
• Bethany Sammons, LSW

• Physical Therapist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.