Individual provider Active NPI

Christopher Bahnken, D.P.T.

  • Physical Therapist
  • Stony Brook, NY
National Provider Identifier
1164580148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028777 Issued in NY
Practice address
97 Main St
Suite F
Stony Brook, NY 11790-1937
Phone
(631) 751-6680
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028777 NY Primary

Addresses

Primary practice location

97 Main St
Suite F
Stony Brook, NY 11790-1937

Mailing address

16 Coraway Rd
Setauket, NY 11733-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000059 NY Practitioner - Physical Therapist in Private Practice 7911001912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Kah Premium Physical Therapy P.C.Group PAC ID 2961674791, 3 clinicians

Practice addresses (Care Compare)

97 Main St
Suite H
Stony Brook, NY 11790-1900
Phone (631) 751-6680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kah Premium Physical Therapy P.C. Physical Therapist CurrentSince Dec 9, 2015 Accepting new patients
Three Village Physical Therapy PLLC Physical Therapist Past Accepting new patients

Locations

97 Main St
Ste H
Stony Brook, NY 11790
Phone (631) 751-6680

97 Main St
Ste F
Stony Brook, NY 11790
Phone (631) 355-2120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164580148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CORAWAY RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST",
            "address_2": "SUITE F",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901937",
            "telephone_number": "631-751-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNKEN",
        "first_name": "CHRISTOPHER",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.