Organization Active NPI

Christopher Page Physical Therapy P.C.

  • Physical Therapist
  • Whitesboro, NY
National Provider Identifier
1104899640
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013419-1 Issued in NY
Legal business name
CHRISTOPHER PAGE PHYSICAL THERAPY P.C.
Practice address
36 Roosevelt Dr
Whitesboro, NY 13492-1550
Phone
(315) 768-3721
Fax
(315) 768-7658
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Christopher Page, D.P.T.
Title
Owner
Phone
(315) 768-3721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 013419-1 NY Primary

Addresses

Primary practice location

36 Roosevelt Dr
Whitesboro, NY 13492-1550

Mailing address

36 Roosevelt Dr
Whitesboro, NY 13492-1550
Phone (315) 768-3721

Other identifiers 1

IdentifierTypeStateIssuer
01595335MedicaidNY

National Provider Directory

National Provider Directory

Locations

36 Roosevelt Dr
Whitesboro, NY 13492
Phone (315) 768-3721

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1104899640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ROOSEVELT DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921550",
            "telephone_number": "315-768-3721",
            "fax_number": "315-768-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ROOSEVELT DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921550",
            "telephone_number": "315-768-3721",
            "fax_number": "315-768-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER PAGE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-768-3721",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013419-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01595335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.