Healthcare Provider Details

I. General information

NPI: 1093151961
Provider Name (Legal Business Name): CHRISTINA BERDOS RAGONESI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2013
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 HIGHLANDS DR
LITITZ PA
17543-7681
US

IV. Provider business mailing address

313 RUDY DAM RD
LITITZ PA
17543-8595
US

V. Phone/Fax

Practice location:
  • Phone: 717-625-5731
  • Fax:
Mailing address:
  • Phone: 302-353-6605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01493600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT027634
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberDAPT004974
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: