Christopher Desiderio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036835-1 Issued in NY

Practice address

6161 Strickland Ave
Brooklyn, NY 11234-6409

Phone

(917) 755-9841

NPI assigned

Sep 12, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supreme Care Physical Therapy and Occupational Therapy PLLCGroup PAC ID 4385774694, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.51 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

71.69

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Supreme Care Physical Therapy and Occupational Therapy, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1841522190
  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1093140741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 STRICKLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 STRICKLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346409",
            "telephone_number": "917-755-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIDERIO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01516000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036835-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshbangla Pharmacy Inc
• Amit Anil Deshmukh, B.S. PHARMACY
• Anita Anil Deshpande, PH.D.
• Jay Alexander Deshpande, LMSW
• Kaivalya Deshpande, MD
• Designer Comfort Shoes Center Inc.
• Designer Optics Corp
• Sonia Desikan, MD, MPH
• Betty Desil Desil
• Lisa Desilva

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.