Active NPI
Christine Radau, P.T.
- Physical Therapist
- North Bellmore, NY
National Provider Identifier
1174708499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016263
- Practice address
- 2351 Jerusalem Ave
North Bellmore
North Bellmore, NY 11710-1822 - Phone
- (516) 719-6053
- NPI assigned
- Jan 5, 2008
- 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 | 016263 | NY | Primary |
Addresses
Primary practice location
2351 Jerusalem Ave
North Bellmore
North Bellmore, NY 11710-1822
Mailing address
2351 Jerusalem Ave
North Bellmore
North Bellmore, NY 11710-1822
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 |
|---|---|---|---|
| 016263 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1174708499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 JERUSALEM AVE",
"address_2": "NORTH BELLMORE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 JERUSALEM AVE",
"address_2": "NORTH BELLMORE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101822",
"telephone_number": "516-719-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADAU",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-05",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.