Christina Patrice Shipp

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2066570 Issued in TX

Practice address

2333 Manor Dr
Bryan, TX 77802-1907

Phone

(979) 821-7330

NPI assigned

Oct 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223078400000",
    "number": "1841441235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 CARTER CREEK PKWY APT 315",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MANOR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021907",
            "telephone_number": "979-821-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "CHRISTINA",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-04",
        "last_updated": "2008-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2066570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Shields, L.P.C.
• Akhilesh Shikaripur Mohan
• Shine a Light in the Dark
• Anna Katherine Shine, MA, LPC-A
• Nolan Daniel Shipman, M.D.
• Shir Lane Inc
• SHS-Sig Select 1, Inc.
• Mark S. Sicilio, M.D.
• Kylie Siders, BCBA
• Chan Young Sihn

• Physical Therapy Assistant in Bryan, TX
• Providers in Bryan, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2008; 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.