Individual provider Active NPI

Christine Lynch, P.T.

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1619035953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16538 Issued in CA
Practice address
1221 Farmers LN Ste 100
Santa Rosa, CA 95405-6770
Phone
(707) 578-7176
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT16538 CA Primary

Addresses

Primary practice location

1221 Farmers LN Ste 100
Santa Rosa, CA 95405-6770

Mailing address

5614 Kathleen CT
Santa Rosa, CA 95409-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.92 of 100Reported as group
Quality
99.84
Improvement activities
40
Cost
79.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16538CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American River Rehabilitation and Physical Therapy, Inc. Physical Therapist CurrentSince Apr 21, 2016 Accepting new patients
Stithem & Johnson Physical Therapy Inc. Physical Therapist Past Accepting new patients
Stithem & Johnson Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

12055 Persimmon Ter
Ste 130
Auburn, CA 95603
Phone (530) 305-9276

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619035953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 KATHLEEN CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FARMERS LN STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056770",
            "telephone_number": "707-578-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CHRISTINE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.