Active NPI
Cristine Divinagracia
- Physical Therapist
- Dobbs Ferry, NY
National Provider Identifier
1083252514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034528
- Practice address
- 115 Broadway
Dobbs Ferry, NY 10522-2835 - Phone
- (914) 326-3111
- NPI assigned
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 034528 | NY | Primary |
Addresses
Primary practice location
115 Broadway
Dobbs Ferry, NY 10522-2835
Mailing address
1432 5TH Ave
New York, NY 10035-4521
Phone (646) 289-7700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034528 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1083252514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100354521",
"telephone_number": "646-289-7700",
"fax_number": "462-897-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BROADWAY",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105222835",
"telephone_number": "914-326-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVINAGRACIA",
"first_name": "CRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dobbs Ferry, NY
- Derek Mansfield Physical Therapy Services, P.C. (SportsCentric Physical Therapy)
- Diagnostic Vascular Technologies LLC
- Denise Dicristofaro
- Archibaldo Dinzey
- Elena Dirusso, DO
- Dobbs Ferry Emergency Medicine, PC
- Dobbs Ferry Pharmacy
- Dobbs Ferry Union Free SD
- Dobbs Ferry Volunteer Ambulance Corps Inc
- Greta Doctoroff, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.