NPIMap

Individual provider Active NPI

Christina M Goodnough, MSPT

  • Orthopedic Physical Therapist
  • Olney, MD
National Provider Identifier
1649495409
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
22288 Issued in MD
Practice address
3414 Olandwood CT
Olney, MD 20832-1384
Phone
(301) 774-0624
Fax
(301) 774-4545
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 22288 MD Primary

Addresses

Primary practice location

3414 Olandwood CT
Olney, MD 20832-1384

Mailing address

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0624

Other names 1

  • Christina M Graves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120315000212 DC Practitioner - Physical Therapist in Private Practice 6608035324 Reassigns benefits to 1 organization
I20160602000272 MD Practitioner - Physical Therapist in Private Practice 6608035324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22288MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 1, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 1, 2013 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopedic Current Accepting new patients
Centers for Advanced Orthopaedics LLC Past Accepting new patients
Rehabauthority, LLC Orthopedic PastSince Sep 19, 2016 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

8818 Centre Park Dr
Ste 111
Columbia, MD 21045
Phone (443) 545-8549

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 8

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1649495409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 OLANDWOOD CT",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321384",
            "telephone_number": "301-774-0624",
            "fax_number": "301-774-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 OLANDWOOD CT",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321384",
            "telephone_number": "301-774-0624",
            "fax_number": "301-774-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNOUGH",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "22288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GRAVES",
            "middle_name": "M",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.