Individual provider Active NPI

Christine M Padilla, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Ridgefield, CT
National Provider Identifier
1386897262
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2369 Issued in CT
Practice address
642 Danbury Rd
Ridgefield, CT 06877-2719
Phone
(203) 438-8226
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2369 CT Primary

Addresses

Primary practice location

642 Danbury Rd
Ridgefield, CT 06877-2719

Mailing address

100 Cooper Dr Apt 2a
New Rochelle, NY 10801-4714
Phone (914) 826-4912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, VA, NJ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090910000235 NY Practitioner - Physician Assistant 6305991670 Reassigns benefits to 2 organizations
I20150924001705 CT Practitioner - Physician Assistant 6305991670 Reassigns benefits to 1 organization
I20260423000812 VA Practitioner - Physician Assistant 6305991670 Reassigns benefits to 2 organizations
I20260609001652 NJ Practitioner - Physician Assistant 6305991670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013080NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Doc South Carolina PC CurrentSince May 20, 2026 Accepting new patients
Senior Doc Virginia PC CurrentSince Mar 26, 2026 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Jul 15, 2023 Accepting new patients
Geiss Medical New York PC CurrentSince Dec 15, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Dec 1, 2025 Accepting new patients

Locations

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

2875 Main St
Bridgeport, CT 06606
Phone (203) 336-0232

33 Lincoln Ave
Danbury, CT 06810
Phone (203) 797-9300

642 Danbury Rd
Ridgefield, CT 06877
Phone (203) 288-6482

21 Maefair Ct
Trumbull, CT 06611
Phone (203) 459-5152

15 N Main St
Ste 100
West Hartford, CT 06107
Phone (214) 532-3757

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

700 Nexton Square Dr
Summerville, SC 29486
Phone (843) 879-8577

700 Nexton Square Dr
Ste 410
Summerville, SC 29486

4870 Sadler Rd
Ste 200
Glen Allen, VA 23060

Interoperability endpoints

  • Direct secure messaging: christine.padilla.1@22829.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1386897262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COOPER DR APT 2A",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014714",
            "telephone_number": "914-826-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772719",
            "telephone_number": "203-438-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.