Active NPI
Christa L Daino, MPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1578093084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10067
- Practice address
- 3506 W Tyvola Rd
Charlotte, NC 28208-7201 - Phone
- (704) 329-1300
- NPI assigned
- Jun 16, 2017
- 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 | PT10067 | NC | Primary |
Addresses
Primary practice location
3506 W Tyvola Rd
Charlotte, NC 28208-7201
Mailing address
3506 W Tyvola Rd
Charlotte, NC 28208-7201
Phone (704) 329-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT10067 | Other | NC | NC BOARD OF PHYSICAL THERAPY |
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 |
|---|---|---|---|
| PT10067 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1578093084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 W TYVOLA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282087201",
"telephone_number": "704-329-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 W TYVOLA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282087201",
"telephone_number": "704-329-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAINO",
"first_name": "CHRISTA",
"middle_name": "L",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "PT10067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PHYSICAL THERAPY",
"identifier": "PT10067",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.