Christine McLellan Asonglefac, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25296 Issued in MD

Practice address

8638 Veterans Hwy FL 1
Millersville, MD 21108-1422

Phone

(443) 481-6515

Fax

(410) 729-4526

NPI assigned

Jun 12, 2018

Last updated

Jan 22, 2019By 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

Other names 1

• Christine Angela McLellan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Cultivate Movement

  • Physical Therapy Clinic/Center
  • Edgewater, MD
  • NPI 1689489528
  NPD Authorized official

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1356834519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR",
            "address_2": "STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "410-766-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638 VETERANS HWY FL 1",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081422",
            "telephone_number": "443-481-6515",
            "fax_number": "410-729-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASONGLEFAC",
        "first_name": "CHRISTINE",
        "middle_name": "MCLELLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MCLELLAN",
            "middle_name": "ANGELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arundel Pediatric Dental Care
• Arundel Physicians Associates Lab
• Arundel Physicians Associates, LLC
• Arundel Psychological Associates
• Arundel Psychological Associates LLC
• Associated Catholic Charities, Inc. (Villa Maria SUD- Villa Maria of Anne Arundel level 1)
• Mindy K Athas, RD, RDN
• Michelle Ayoroa-Perez, DDS
• B Love, Inc.
• Christina Bachenberg, LCPC

• Physical Therapist in Millersville, MD
• Providers in Millersville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.