Individual provider Active NPI

Christine Lee Borges Hauptfuhrer, PT, DPT

  • Physical Therapist
  • Burtonsville, MD
National Provider Identifier
1356606586
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26043 Issued in MD
Practice address
3901 National Dr
Suite 100
Burtonsville, MD 20866-1141
Phone
(301) 421-1125
Fax
(301) 500-2175
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT871376 DC
Physical Therapist 225100000X 26043 MD Primary

Addresses

Primary practice location

3901 National Dr
Suite 100
Burtonsville, MD 20866-1141

Mailing address

3700 Toone St
#2161
Baltimore, MD 21224-5173
Phone (703) 577-1992

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
26043MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1356606586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 TOONE ST",
            "address_2": "#2161",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245173",
            "telephone_number": "703-577-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NATIONAL DR",
            "address_2": "SUITE 100",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661141",
            "telephone_number": "301-421-1125",
            "fax_number": "301-500-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES HAUPTFUHRER",
        "first_name": "CHRISTINE",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871376",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.