Provider Demographics
NPI:1528013273
Name:WHITEMAN, CHRISTOPHER TODD (MPT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:TODD
Last Name:WHITEMAN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 INDUSTRIAL PARK STREET
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-5139
Mailing Address - Country:US
Mailing Address - Phone:301-729-3485
Mailing Address - Fax:301-729-0158
Practice Address - Street 1:11801 INDUSTRIAL PARK STREET
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-5139
Practice Address - Country:US
Practice Address - Phone:301-729-3485
Practice Address - Fax:301-729-0158
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21666225100000X
WV002517225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0014OtherCAREFIRST BCBS OF DC NCA
268467OtherMAMSI
P00281676OtherRAILROAD MEDICARE
7337732OtherAETNA
WV3810004798Medicaid
MD64794601OtherBLUECROSS BLUESHIELD
WV1017320OtherWORKERS COMP
MDS986M995Medicare ID - Type Unspecified