Active NPI
Marie May Christopherson, MSPT
- Physical Therapist
- Newport News, VA
National Provider Identifier
1659412393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204918
- Practice address
- 12695 McManus Blvd
BLDG 6, Ste B
Newport News, VA 23602-4435 - Phone
- (757) 874-0032
- Fax
- (757) 874-0127
- NPI assigned
- Feb 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204918 | VA | Primary |
| Physical Therapist | 225100000X | J1-0002129 | DE |
Addresses
Primary practice location
12695 McManus Blvd
BLDG 6, Ste B
Newport News, VA 23602-4435
Mailing address
771 Pilot House Dr
Newport News, VA 23606-1990
Phone (757) 873-2302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7881903 | Other | VA | AETNA |
| 192948 | Other | VA | BCBS (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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002129 | DE | MD | Physical Therapist |
| 2305204918 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHCG Ccxxxi, LLC | Current | Accepting new patients |
Locations
490 N DuPont Hwy
Dover, DE 19901
Phone (302) 703-0800
Organizations & group practices 1
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.
-
- Home Health Agency
- Bear, DE
- NPI 1962117903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1659412393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 PILOT HOUSE DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061990",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12695 MCMANUS BLVD",
"address_2": "BLDG 6, STE B",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024435",
"telephone_number": "757-874-0032",
"fax_number": "757-874-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHERSON",
"first_name": "MARIE",
"middle_name": "MAY",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204918",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002129",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7881903",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS (PHYSICAL THERAPY)",
"identifier": "192948",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.