Individual provider Active NPI

Christina Hendrickson, MPT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1558320309
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2006000394 Issued in MO
Practice address
25 Terre Verte CT
Saint Charles, MO 63304-1217
Phone
(314) 328-5553
Fax
(314) 328-5610
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 2006000394 MO Primary

Addresses

Primary practice location

25 Terre Verte CT
Saint Charles, MO 63304-1217

Mailing address

25 Terre Verte CT
Saint Charles, MO 63304-1217
Phone (314) 328-5553

Other identifiers 1

IdentifierTypeStateIssuer
P00286707OtherMORAILROAD MEDICARE

Other names 1

  • Christina Cogorno Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000574 MO Practitioner - Physical Therapist in Private Practice 5395751481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006000394MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Direct Physical Therapist CurrentSince Dec 9, 2023 Accepting new patients
Babar Enterprises LLC Physical Therapist Past Accepting new patients
Babar Enterprises LLC Physical Therapist PastSince Nov 1, 2007 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1558320309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TERRE VERTE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041217",
            "telephone_number": "314-328-5553",
            "fax_number": "314-328-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TERRE VERTE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041217",
            "telephone_number": "314-328-5553",
            "fax_number": "314-328-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "CHRISTINA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006000394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00286707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "COGORNO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.