Active NPI
Christine Minnix
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1861702870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24846
- Practice address
- 5411 W Cedar LN Ste 105a
Bethesda, MD 20814-1516 - Phone
- (301) 564-4040
- Fax
- (301) 564-3604
- NPI assigned
- Oct 13, 2010
- Last updated
- Apr 24, 2019
- 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 | PT25870 | FL | |
| Physical Therapist | 225100000X | 24846 | MD | Primary |
Addresses
Primary practice location
5411 W Cedar LN Ste 105a
Bethesda, MD 20814-1516
Mailing address
6614 Desiree CT
Alexandria, VA 22315-6039
Other practice location 1
10685 N Kendall Dr
Miami, FL 33176-1510
Phone (305) 279-4071
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 |
|---|---|---|---|
| 24846 | MD | MD | Pharmacist |
| PT25870 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1861702870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6614 DESIREE CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223156039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 W CEDAR LN STE 105A",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141516",
"telephone_number": "301-564-4040",
"fax_number": "301-564-3604"
}
],
"practiceLocations": [
{
"address_1": "10685 N Kendall Dr",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331761510",
"country_code": "US",
"telephone_number": "305-279-4071",
"fax_number": "305-279-6293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINNIX",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25870",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.