Provider Demographics
NPI:1235193038
Name:ZENTZ, CHRISTOPHER L (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:ZENTZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 INVERNESS CT
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-7011
Mailing Address - Country:US
Mailing Address - Phone:717-267-0635
Mailing Address - Fax:
Practice Address - Street 1:20 PARK PL
Practice Address - Street 2:SUITE 2
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-9806
Practice Address - Country:US
Practice Address - Phone:717-477-8030
Practice Address - Fax:717-477-8040
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019201500003Medicaid
PA299307OtherMAMSI
PA2719722OtherAETNA
PA1357893OtherHIGHMARK BLUE SHIELD
MD61973301OtherCAREFIRST BLUESHIELD
PA650023264OtherRAILROAD MEDICARE
PA02999001OtherCAPITAL BLUE CROSS
MD61973301OtherCAREFIRST BLUESHIELD