Active NPI
Christine Shanholtz
- Physical Therapist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5749
- Practice address
- 10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347 - Phone
- (888) 531-2204
- NPI assigned
- Nov 8, 2019
- Last updated
- Jan 5, 2023
- Sex
- Female
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5749 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckeye Senior Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Buckeye Senior Rehab LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Dayton, OH
- NPI 1265167233
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.