Individual provider Active NPI

Christine Marie Rocque, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1700249182
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10752 Issued in GA
Practice address
Delta Healthcare Providers, 1755 Wittington Place
Suite 175
Dallas, TX 75234
Phone
(866) 221-5405
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10752 GA Primary
Physical Therapist 225100000X 31091 FL

Addresses

Primary practice location

Delta Healthcare Providers, 1755 Wittington Place
Suite 175
Dallas, TX 75234

Mailing address

Delta Healthcare Providers, 1755 Wittington Place
Ste #175
Dallas, TX 75234
Phone (866) 221-5405

Other names 1

  • Christine Marie Birke Former name

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

LicenseStateTypeSpecialty
31091FLMDPhysical Therapist
10752GAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1700249182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELTA HEALTHCARE PROVIDERS, 1755 WITTINGTON PLACE",
            "address_2": "STE #175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "866-221-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELTA HEALTHCARE PROVIDERS, 1755 WITTINGTON PLACE",
            "address_2": "SUITE 175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "866-221-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCQUE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "10752",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BIRKE",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.