Individual provider Active NPI

Christina Birgitta Jonsson

  • Physical Therapist
  • Andover, NJ
National Provider Identifier
1902956394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00588000 Issued in NJ
Practice address
155 Andover Mohawk Rd
Andover, NJ 07821-5004
Phone
(973) 366-4000
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00588000 NJ Primary
Physical Therapist 225100000X 4520 CO

Addresses

Primary practice location

155 Andover Mohawk Rd
Andover, NJ 07821-5004

Mailing address

155 Andover Mohawk Rd
Andover, NJ 07821-5004
Phone (973) 786-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000091 NJ Practitioner - Physical Therapist in Private Practice 6901876507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

155 Andover Mohawk Rd
Andover, NJ 07821-5004
Phone (973) 903-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4520COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Andover Mohawk Physical Therapy Physical Therapist CurrentSince Sep 1, 2008 Accepting new patients
Vail Physical Therapy, LLC Physical Therapist PastSince Apr 1, 2020 Accepting new patients
Vail Sports Medicine Physical Therapy PC Physical Therapist PastSince Sep 1, 2019 Accepting new patients

Locations

8 Lenape Rd
Andover, NJ 07821
Phone (973) 786-0235

8 Lenape Rd
Ste B
Andover, NJ 07821

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902956394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ANDOVER MOHAWK RD",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078215004",
            "telephone_number": "973-786-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ANDOVER MOHAWK RD",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078215004",
            "telephone_number": "973-366-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONSSON",
        "first_name": "CHRISTINA",
        "middle_name": "BIRGITTA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00588000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.