Look up the most recent NPI and PECOS records

Cristina Eldidy Khan

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

8895 N Military Trl, Bldg E, Suite 101, West Palm Beach, FL 33410-6220

PECOS Enrollment

Based on the most recent information from CMS, provider Cristina Eldidy Khan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1104972991
Provider Type
Individual
Full Name
Khan, Cristina Eldidy
Credential
DPT

Gender
Female
Sole Proprietor
No
Enumeration Date
1/26/2007
Last Updated
3/23/2011

Contact Information

Practice Location

8895 N Military Trl, Bldg E, Suite 101, West Palm Beach, FL 33410-6220

(561) 624-1457

(561) 775-3290

Mailing Location

301 3rd Ln, Palm Beach Gardens, FL 33418-3547

(561) 691-0967

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License PT 22767 Florida

Provider Identifiers

ID	Description	Issuer
ID 891536900	Description Medicaid	Issuer Unlisted Florida

Cristina Eldidy Khan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kramer, Dina

Alnemer, Jordan

Carey, Carol

Higgs, Robin

Mcreed, Osianna L

Calalang, Angela P

Ironside, Audrey

Richards, Emma

Fratto, Louie

Keller, Taylor Marie