Provider Demographics
NPI:1386736593
Name:PENDLETON, CHRISTINE (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:PENDLETON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CARNEGIE PLZ
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1000
Mailing Address - Country:US
Mailing Address - Phone:877-407-3422
Mailing Address - Fax:877-407-4329
Practice Address - Street 1:20 E PICCADILLY ST STE 11&14
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3971
Practice Address - Country:US
Practice Address - Phone:877-407-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA16040OtherCOMMUNITY HEALTH
VA4576361OtherAETNA
VA194082OtherBCBS GROUP # FR
VA194083OtherBCBS GROUP # WI
VA541966445OtherSOUTHERN HEALTH
VA150718500OtherDEPT OF LABOR
VA194085OtherBCBS GROUP # WS
VA541966445OtherUHC
VA541966445OtherFIRST HEALTH
VA182414OtherBCBS INDIVIDUAL
VAP00264305OtherRR MEDICARE
VA008567R87Medicare ID - Type UnspecifiedINDIVIDUAL #
VA150718500OtherDEPT OF LABOR
VAC06487Medicare ID - Type UnspecifiedGROUP #