Active NPI
Christine Cedergreen Wood
- Physical Therapist
- Houston, TX
National Provider Identifier
1831108182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1256719
- Practice address
- 9432 Katy Fwy Ste 320
Houston, TX 77055 - Phone
- (815) 585-4372
- Fax
- (281) 558-5443
- NPI assigned
- Aug 5, 2006
- 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 | 59248292401 | UT | |
| Physical Therapist | 225100000X | 1256719 | TX | Primary |
Addresses
Primary practice location
9432 Katy Fwy Ste 320
Houston, TX 77055
Mailing address
3234 Bandera Run LN
Katy, TX 77494-2776
Phone (541) 499-7534
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59248292401 | Other | UT | UTAH STATE LICENSE |
| 1256719 | Other | TX | TEXAS STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1256719 | TX | MD | Physical Therapist |
| 59248292401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids DC, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1225076904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1831108182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3234 BANDERA RUN LN",
"city": "KATY",
"state": "TX",
"postal_code": "774942776",
"telephone_number": "541-499-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9432 KATY FWY STE 320",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77055",
"telephone_number": "815-585-4372",
"fax_number": "281-558-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CHRISTINE",
"middle_name": "CEDERGREEN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "59248292401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1256719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTAH STATE LICENSE",
"identifier": "59248292401",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE LICENSE",
"identifier": "1256719",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.