Individual provider Active NPI

Khristin Charity

  • Physical Therapist
  • Odenton, MD
National Provider Identifier
1922837335
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30048 Issued in MD
Practice address
1110 Town Center Blvd Ste I
Odenton, MD 21113-1232
Phone
(410) 672-8091
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30048 MD Primary

Addresses

Primary practice location

1110 Town Center Blvd Ste I
Odenton, MD 21113-1232

Mailing address

1110 Town Center Blvd Ste I
Odenton, MD 21113-1232
Phone (410) 672-8091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009003380 MD Practitioner - Physical Therapist in Private Practice 5294232799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4 Oaks Physical Therapy, LLCGroup PAC ID 1759604838, 18 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1413 Madison Park Dr
Suite 100
Glen Burnie, MD 21061-5613
Phone (443) 583-3757

2645 Annapolis Rd
Suite B
Hanover, MD 21076-2280
Phone (443) 351-2063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30048MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
4 Oaks Physical Therapy, LLC. Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist PastSince Aug 4, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Aug 4, 2024 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2000 Century Plz
Columbia, MD 21044
Phone (410) 740-4802

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

1413 Madison Park Dr
Ste 100
Glen Burnie, MD 21061
Phone (443) 583-3757

2645 Annapolis Rd
Ste B
Hanover, MD 21076
Phone (443) 351-2063

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

Organizations & group practices 5

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1922837335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 TOWN CENTER BLVD STE I",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131232",
            "telephone_number": "410-672-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 TOWN CENTER BLVD STE I",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131232",
            "telephone_number": "410-672-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARITY",
        "first_name": "KHRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.