Individual provider Active NPI

Christine Waryha, OT

  • Specialist
  • Paoli, PA
National Provider Identifier
1407189053
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OC011182 Issued in PA
Practice address
600 Paoli Pointe Dr
Paoli, PA 19301-2104
Phone
(610) 296-2527
Fax
(610) 296-2790
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OC011182 PA Primary

Addresses

Primary practice location

600 Paoli Pointe Dr
Paoli, PA 19301-2104

Mailing address

542 E Hector St
Unit 6
Conshohocken, PA 19428-1969

Other identifiers 1

IdentifierTypeStateIssuer
OC011182OtherPAOT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161103000894 NJ Practitioner - Occupational Therapist in Private Practice 3870871312 Reassigns benefits to 2 organizations
I20250721001367 FL Practitioner - Occupational Therapist in Private Practice 3870871312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Befit Rehabilitation LLCGroup PAC ID 2860990074, 11 clinicians
Visitry Florida LLCGroup PAC ID 4688016272, 27 clinicians

Practice addresses (Care Compare)

3141 N McMullen Booth Rd
Clearwater, FL 33761-2035
Phone (727) 242-8630

802 E Whiting St
Tampa, FL 33602-4136
Phone (716) 523-1783

9797 Bay Pines Blvd
St Petersburg, FL 33708-3775
Phone (727) 242-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC011182PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Physical Therapy Associates, P.a. CurrentSince May 31, 2023 Accepting new patients
Visitry Florida LLC CurrentSince May 20, 2025 Accepting new patients
Befit Rehabilitation LLC CurrentSince Oct 17, 2025 Accepting new patients

Locations

802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783

1060 Main St
Ste 302
River Edge, NJ 07661
Phone (201) 833-0234

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1407189053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 E HECTOR ST",
            "address_2": "UNIT 6",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAOLI POINTE DR",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193012104",
            "telephone_number": "610-296-2527",
            "fax_number": "610-296-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARYHA",
        "first_name": "CHRISTINE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC011182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OC011182",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.

Verify at the official NPI Registry.