Individual provider Active NPI

Christina L Behrens

  • Physical Therapist
  • Gahanna, OH
National Provider Identifier
1427189646
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12637 Issued in OH
Practice address
670 Morrison Rd
Ste 205
Gahanna, OH 43230-5324
Phone
(614) 755-2347
Fax
(614) 755-2348
NPI assigned
Mar 8, 2007
Reactivated
Nov 19, 2020
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12637 OH Primary

Addresses

Primary practice location

670 Morrison Rd
Ste 205
Gahanna, OH 43230-5324

Mailing address

670 Morrison Rd
Ste 205
Gahanna, OH 43230-5324
Phone (614) 755-2347

Other identifiers 1

IdentifierTypeStateIssuer
2533100MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210826001812 OH Practitioner - Physical Therapist in Private Practice 3072918275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enliven Rehabilitation Services LLCGroup PAC ID 1850626375, 10 clinicians

Practice addresses (Care Compare)

630 Morrison Rd
Suite 310
Gahanna, OH 43230-5318
Phone (614) 755-2347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12637OHMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1427189646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MORRISON RD",
            "address_2": "STE 205",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305324",
            "telephone_number": "614-755-2347",
            "fax_number": "614-755-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MORRISON RD",
            "address_2": "STE 205",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305324",
            "telephone_number": "614-755-2347",
            "fax_number": "614-755-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRENS",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "deactivation_date": "2013-04-18",
        "reactivation_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "12637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2533100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.