Active NPI
Cristina Elizabeth Bach, MPT
- Physical Therapist
- Carrollton, OH
National Provider Identifier
1457574410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011748
- Practice address
- 648 Longhorn St NW
Carrollton, OH 44615-9469 - Phone
- (330) 303-5730
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 16, 2019
- 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 | 011748 | OH | Primary |
Addresses
Primary practice location
648 Longhorn St NW
Carrollton, OH 44615-9469
Mailing address
4497 State Route 164
Leetonia, OH 44431-9614
Phone (303) 303-5730
Other practice location 1
3000 Belmont Ave
Youngstown, OH 44505-1846
Phone (330) 759-2603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011748 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1457574410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4497 STATE ROUTE 164",
"city": "LEETONIA",
"state": "OH",
"postal_code": "444319614",
"telephone_number": "303-303-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 LONGHORN ST NW",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "446159469",
"telephone_number": "330-303-5730"
}
],
"practiceLocations": [
{
"address_1": "3000 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445051846",
"country_code": "US",
"telephone_number": "330-759-2603",
"fax_number": "330-759-2569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACH",
"first_name": "CRISTINA",
"middle_name": "ELIZABETH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "011748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.