Healthcare Provider Details

I. General information

NPI: 1972448645
Provider Name (Legal Business Name): CHRISTINA ROSE GENTILE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 GREENSPRING AVE STE 303
BALTIMORE MD
21209-4358
US

IV. Provider business mailing address

5051 GREENSPRING AVE STE 303
BALTIMORE MD
21209-4358
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-9107
  • Fax: 410-601-7361
Mailing address:
  • Phone: 410-601-9107
  • Fax: 410-601-7361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23382
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: