Individual provider Active NPI

Christine Fratantuono, PT

  • Physical Therapist
  • Prince Frederick, MD
National Provider Identifier
1477871507
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17249 Issued in MD
Practice address
130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4015
Phone
(410) 535-8180
NPI assigned
May 13, 2010
Last updated
May 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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 17249 MD Primary

Addresses

Primary practice location

130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4015

Mailing address

130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4015
Phone (410) 535-8180

Other identifiers 2

IdentifierTypeStateIssuer
17249OtherMDMARYLAND BOARD OF PHYSICAL THERAPY LICENSE
406409700MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000086 MD Practitioner - Physical Therapist in Private Practice 3274714605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Center IncGroup PAC ID 2668370065, 18 clinicians

Practice addresses (Care Compare)

130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4029
Phone (410) 535-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17249MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Center, Inc. Physical Therapist Current Accepting new patients
Calverthealth Medical Center, Inc. Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Calverthealth Medical Center, Inc. Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Calverthealth Medical Center, Inc. Past Accepting new patients

Locations

10845 Town Center Blvd
Ste 100
Dunkirk, MD 20754
Phone (410) 257-5263

130 Hospital Rd
Ste 103
Prnc Frederck, MD 20678
Phone (410) 535-8180

14090 Hg Trueman Rd
Ste 1500
Solomons, MD 20688
Phone (410) 394-2838

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, 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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1477871507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATANTUONO",
        "first_name": "CHRISTINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHYSICAL THERAPY LICENSE",
            "identifier": "17249",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406409700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.