Active NPI
Christina Elizabeth Roethle
- Physical Therapist
- Frederick, MD
National Provider Identifier
1780292748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28074
- Practice address
- 5100 Buckeystown Pike Ste 158
Frederick, MD 21704-8337 - Phone
- (301) 662-6790
- Fax
- (301) 662-6805
- NPI assigned
- Jul 16, 2020
- Last updated
- Aug 13, 2024
- 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 | PT872650 | DC | |
| Physical Therapist | 225100000X | 28074 | MD | Primary |
Addresses
Primary practice location
5100 Buckeystown Pike Ste 158
Frederick, MD 21704-8337
Mailing address
7131 Arlington Rd Apt 341
Bethesda, MD 20814-2966
Phone (443) 791-8884
Other practice location 1
3301 New Mexico Ave NW Ste 250
Washington, DC 20016-3610
Phone (202) 517-7388
Other names 1
- Christina Elizabeth Baker
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 |
|---|---|---|---|
| PT872650 | DC | MD | Physical Therapist |
| 28074 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Winchester, VA
- NPI 1609814755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1780292748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7131 ARLINGTON RD APT 341",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142966",
"telephone_number": "443-791-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 BUCKEYSTOWN PIKE STE 158",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217048337",
"telephone_number": "301-662-6790",
"fax_number": "301-662-6805"
}
],
"practiceLocations": [
{
"address_1": "3301 New Mexico Ave NW Ste 250",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200163610",
"country_code": "US",
"telephone_number": "202-517-7388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROETHLE",
"first_name": "CHRISTINA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT872650",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "BAKER",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.