Christine M Carcanague, PT
Individual provider Active NPI Physical Therapist · Wayne, PA
NPI 1740767698 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1740767698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015411 (GA)
- Practice address
- 378 Grange Rd
Wayne, PA 19087-2918 - Phone
- (610) 225-2451
- Fax
- (610) 964-6166
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015411 | GA | MD | Clinical Electrophysiology Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015411 | GA | Yes |
Addresses
Primary practice location
378 Grange Rd
Wayne, PA 19087-2918
Mailing address
378 Grange Rd
Wayne, PA 19087-2918
Phone (610) 225-2451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT015411 | Other | PA | LICENSE |
Other providers in Wayne, PA
- Candid Pennsylvania, LLC
- Michaeline Nicole Cantono
- Diana Capriotti
- Grace Renee Capuzzi
- Ralph Anthony Carabasi III
- Cardiology and Endovascular Interventional Associates, PC
- Patricia Ann Carducci
- Care Connections Agency
- Care Connections Agency
- Caring Hearts Homecare Assistance
All providers in Wayne, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.