Healthcare Provider Details

I. General information

NPI: 1265342356
Provider Name (Legal Business Name): CHRISTINA MALDONADO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 POST RD E
WESTPORT CT
06880-5200
US

IV. Provider business mailing address

1931 BLACK ROCK TPKE
FAIRFIELD CT
06825-3506
US

V. Phone/Fax

Practice location:
  • Phone: 203-332-4363
  • Fax: 203-924-2334
Mailing address:
  • Phone: 203-332-4363
  • Fax: 203-384-0722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15584
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: