Christine M Mishalko, MSS,ATC,PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT002509A Issued in PA

Practice address

2500 Maryland Rd
University Orthopaedic Institute- Suite 131
Willow Grove, PA 19090-1216

Phone

(215) 830-9255

Fax

(215) 830-3306

NPI assigned

Apr 25, 2006

Last updated

Mar 26, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• TPS IV of PA., LLC

  dba University Orthopaedic Institute

  • Durable Medical Equipment & Medical Supplies
  • Willow Grove, PA
  • NPI 1063731370
  NPD (past)
• TPS IV of PA., LLC

  dba University Orthopaedic Institute

  • Durable Medical Equipment & Medical Supplies
  • Marlton, NJ
  • NPI 1053630368
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1376509794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "HAHNEMANN HOSPITAL- DEPT. OF ORTHOPAEDICS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-830-9255",
            "fax_number": "215-830-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "address_2": "UNIVERSITY ORTHOPAEDIC INSTITUTE- SUITE 131",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901216",
            "telephone_number": "215-830-9255",
            "fax_number": "215-830-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHALKO",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSS,ATC,PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT002509A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Methodist Associates in Healthcare, Inc (Jefferson Community Physicians - Radiation Oncology)
• Robert I Michaelson, MD
• James McKeown Miller, MD
• Theresa Miller, PA-C
• Liliane Min, M.D.
• Jeshal Mistry
• Angelina Mitchell, PHARMD
• Erica Mohan
• Monica Mohile, M.D.
• Jennifer Lynn Moline

• Athletic Trainer in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.