Active NPI
Christine Francess Deperrio, PT
- Physical Therapist
- Middletown, NY
National Provider Identifier
1053662627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035361-1
- Practice address
- 192 Tower Dr
Suite 400
Middletown, NY 10941-2056 - Phone
- (845) 692-4391
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035361-1 | NY | Primary |
Addresses
Primary practice location
192 Tower Dr
Suite 400
Middletown, NY 10941-2056
Mailing address
192 Tower Dr
Suite 400
Middletown, NY 10941-2056
Phone (845) 692-4391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035361-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ages & Stages , LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Middletown, NY
- NPI 1487830113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1053662627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 TOWER DR",
"address_2": "SUITE 400",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109412056",
"telephone_number": "845-692-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 TOWER DR",
"address_2": "SUITE 400",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109412056",
"telephone_number": "845-692-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPERRIO",
"first_name": "CHRISTINE",
"middle_name": "FRANCESS",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035361-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.