Individual provider Active NPI

Chris Joseph McGinnis, DPT

  • Orthopedic Physical Therapist
  • Monticello, NY
National Provider Identifier
1174705222
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
029896 Issued in NY
Practice address
55 Sturgis Rd
Suite 2
Monticello, NY 12701-1225
Phone
(845) 707-4371
Fax
(845) 796-0197
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 029896 NY Primary
Physical Therapist 225100000X 029896 NY

Addresses

Primary practice location

55 Sturgis Rd
Suite 2
Monticello, NY 12701-1225

Mailing address

55 Sturgis Rd
Suite 2
Monticello, NY 12701-1225
Phone (845) 707-4371

Other identifiers 1

IdentifierTypeStateIssuer
02942294MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000200 NY Practitioner - Physical Therapist in Private Practice 1355426602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Care Physical Therapy, PLLCGroup PAC ID 8022205178, 2 clinicians

Practice addresses (Care Compare)

55 Sturgis Rd
Suite 2
Monticello, NY 12701-1225
Phone (845) 707-4371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029896NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Physical Therapy, PLLC CurrentSince Sep 15, 2010 Accepting new patients

Locations

55 Sturgis Rd
#2
Monticello, NY 12701
Phone (845) 707-4371

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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1174705222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STURGIS RD",
            "address_2": "SUITE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011225",
            "telephone_number": "845-707-4371",
            "fax_number": "845-796-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 STURGIS RD",
            "address_2": "SUITE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011225",
            "telephone_number": "845-707-4371",
            "fax_number": "845-796-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "CHRIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "029896",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02942294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.