Christopher Stefensonwestergard, PT,DPT
Individual provider Active NPI Physical Therapist · Mantua, NJ
NPI 1508548868 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1508548868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT031630 (PA)
- Practice address
- 320 Berkley Rd
Mantua, NJ 08051-1536 - Phone
- (856) 405-9345
- NPI assigned
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1101 Market St
Philadelphia, PA 19107-2955
940 Herman Dr
Deptford, NJ 08096-3658
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902001966 | PA | Practitioner - Physical Therapist in Private Practice | 8527569334 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT031630 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Philadelphia | Current |
Accepting new patients | |
| City of Philadelphia | Current |
Accepting new patients | |
| City of Philadelphia | Current | Accepting new patients |
Locations
4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600
1101 Market St
Fl 10
Philadelphia, PA 19107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT031630 | PA | Yes |
Addresses
Primary practice location
320 Berkley Rd
Mantua, NJ 08051-1536
Mailing address
320 Berkley Rd
Mantua, NJ 08051-1536
Other providers in Mantua, NJ
- Glinario Ramos
- Stacey Rettew
- Steven S. Roth
- James Rotoli
- Amuliah Aslim Sirleaf
- The Devereux Foundation
- Maryann J Thornton
- Sharon M Verdinelli
- Walgreen Co
- Aniyah Angela Ward Ward
All providers in Mantua, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.