Active NPI
Christopher T Gardner, D.P.T.
- Physical Therapist
- Berlin, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23853
- Practice address
- 11204 Racetrack Rd
101
Berlin, MD 21811-3367 - Phone
- (410) 208-1525
- Fax
- (410) 208-1527
- NPI assigned
- Jul 11, 2012
- Last updated
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23853 | MD | Primary |
Addresses
Primary practice location
11204 Racetrack Rd
101
Berlin, MD 21811-3367
Mailing address
11204 Racetrack Rd
101
Berlin, MD 21811-3367
Phone (410) 208-1525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7845 Oakwood Rd
Glen Burnie, MD 21061-4280
Phone (410) 969-7580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23853 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Rehab, Inc | Physical Therapist | Current | Accepting new patients |
| Apex Therapy Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Past | Accepting new patients |
Locations
7845 Oakwood Rd
Ste 300
Glen Burnie, MD 21061
Phone (410) 760-5638
Organizations & group practices 4
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.
-
- Physical Therapist
- Glen Burnie, MD
- NPI 1396204988
-
dba FYZICAL Therapy & Balance Centers of Delmarva
- Physical Therapist
- Berlin, MD
- NPI 1912204983
-
- Physical Therapy Clinic/Center
- Glen Burnie, MD
- NPI 1003855461
Physical Therapist
-
dba Ortho and Sports Medicine Center
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1780824615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1386909794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11204 RACETRACK RD",
"address_2": "101",
"city": "BERLIN",
"state": "MD",
"postal_code": "218113367",
"telephone_number": "410-208-1525",
"fax_number": "410-208-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11204 RACETRACK RD",
"address_2": "101",
"city": "BERLIN",
"state": "MD",
"postal_code": "218113367",
"telephone_number": "410-208-1525",
"fax_number": "410-208-1527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.