Christopher Greetham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305004216 Issued in VA

Practice address

12544 Dillingham SQ
Woodbridge, VA 22192-5259

Phone

(703) 730-6969

Fax

(703) 730-1169

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Ridge Physical Therapy, LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1871598417
  NPD
• Dominion Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Dumfries, VA
  • NPI 1346897204
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1770588238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12544 DILLINGHAM SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925259",
            "telephone_number": "703-730-6969",
            "fax_number": "703-730-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12544 DILLINGHAM SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925259",
            "telephone_number": "703-730-6969",
            "fax_number": "703-730-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12731 Marblestone Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221928334",
            "country_code": "US",
            "telephone_number": "571-659-2612",
            "fax_number": "571-659-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREETHAM",
        "first_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "265662",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS PROVIDER #",
            "identifier": "S427-0002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zakevia D Green, PHD
• Eran Greenberg, MD
• Ersular Greene, RN
• Yolanda Greene
• Anne Greer, FNP-BC
• Isabella Greetham, PT
• Gregory and Friends LLC
• Rachel Christine Grenz
• Karen Selena Grier
• Ava Griese, ATC

• Physical Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.