Individual provider Active NPI

Christine Shanholtz

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1447895933
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5749 Issued in OH
Practice address
10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347
Phone
(888) 531-2204
NPI assigned
Nov 8, 2019
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 5749 OH Primary

Addresses

Primary practice location

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347

Mailing address

684 Anderson Rd
Wilmington, OH 45177-8573
Phone (503) 887-1436

Other practice location 1

33533 W 12 Mile Rd Ste 290
Farmington Hills, MI 48331-5635
Phone (866) 925-8505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119001605 OH Practitioner - Physical Therapist in Private Practice 3476924937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckeye Senior Rehab LLCGroup PAC ID 4284017542, 16 clinicians

Practice addresses (Care Compare)

4175 Indian Ripple Rd
Dayton, OH 45440-3245
Phone (937) 800-1030

695 Wycliffe Dr
Xenia, OH 45385-7254
Phone (937) 800-1030

7750 Paragon Rd
Dayton, OH 45459-4050
Phone 9372913780125

8683 Clearcreek Franklin Rd
Springboro, OH 45066-9824
Phone (937) 800-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5749OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

7750 Paragon Rd
Washington Township, OH 45459
Phone (937) 291-3780

Organizations & group practices 2

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1447895933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 ANDERSON RD",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451778573",
            "telephone_number": "503-887-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323347",
            "telephone_number": "888-531-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33533 W 12 Mile Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483315635",
            "country_code": "US",
            "telephone_number": "866-925-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANHOLTZ",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "5749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.