Christopher Donato
Individual provider Active NPI Physical Therapist · New Canaan, CT
NPI 1003594508 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1003594508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 16 Cross St
New Canaan, CT 06840-4831 - Phone
- (203) 228-5010
- NPI assigned
- Jul 6, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Proactive Physical Therapy and Sports Rehabilitation PLLC
Practice addresses (Care Compare)
465 Columbus Ave
Valhalla, NY 10595-1336
Phone (914) 741-2850
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250819003322 | NY | Practitioner - Physical Therapist in Private Practice | 3577917806 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051129 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy & Sports Rehabilitation, PLLC | Current |
Accepting new patients |
Locations
465 Columbus Ave
Ste 130
Valhalla, NY 10595
Phone (914) 741-2850
465 Columbus Ave
Valhalla, NY 10595
Phone (914) 401-8082
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
16 Cross St
New Canaan, CT 06840-4831
Mailing address
PO Box 402
Cos Cob, CT 06807-0402
Other providers in New Canaan, CT
- Mark Steven Dewaele
- Eric John Dieffenbach
- Dil Figaro, LLC
- Abigail K Dixon
- Michelle Rita Doherty
- Robert F. Dubiel
- Sheila Duggan
- Corey Dybas
- Donna Marie Dyer
- Early Childhood Services of CT, PLLC
All providers in New Canaan, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.