Individual provider Active NPI

Christian Radzinski, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1659820397
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024495 Issued in PA
Practice address
1919 Chestnut St Ste 104
Philadelphia, PA 19103-3456
Phone
(215) 564-1110
Fax
(215) 227-2739
NPI assigned
Sep 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 024495 PA Primary

Addresses

Primary practice location

1919 Chestnut St Ste 104
Philadelphia, PA 19103-3456

Mailing address

1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

808 N Broad St
Philadelphia, PA 19130-2235
Phone (215) 236-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818001685 PA Practitioner - Physical Therapist in Private Practice 2860818192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1919 Chestnut St
Suite 104
Philadelphia, PA 19103-3456
Phone (215) 564-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024495PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraphysical Care of Pennsylvania, LLC Physical Therapist CurrentSince Aug 4, 2020 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 4, 2020 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 28, 2022 Accepting new patients
Christian Radzinski DPT PC Past Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1919 Chestnut St
Ste 104
Philadelphia, PA 19103
Phone (215) 564-1110

1528 Walnut St
Ste 1210
Philadelphia, PA 19102
Phone (215) 839-0989

1608 Walnut St
Ste 200
Philadelphia, PA 19103
Phone (215) 545-8717

517 S 4th St
Philadelphia, PA 19147
Phone (215) 629-1270

Organizations & group practices 4

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1659820397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY",
            "address_2": "STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 CHESTNUT ST STE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033456",
            "telephone_number": "215-564-1110",
            "fax_number": "215-227-2739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191302235",
            "country_code": "US",
            "telephone_number": "215-236-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADZINSKI",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "024495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.