Individual provider Active NPI

Christine Livingston, MSPT

  • Physical Therapist
  • Fair Haven, NJ
National Provider Identifier
1225113459
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA007694 Issued in NJ
Practice address
623 River Rd
Suite 5
Fair Haven, NJ 07704-3267
Phone
(732) 842-5522
Fax
(732) 842-2711
NPI assigned
Oct 26, 2006
Sex
Female
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 QA007694 NJ Primary

Addresses

Primary practice location

623 River Rd
Suite 5
Fair Haven, NJ 07704-3267

Mailing address

31 Manor Dr
Red Bank, NJ 07701-2468
Phone (732) 859-1028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000482 NJ Practitioner - Physical Therapist in Private Practice 7618958281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston Physical Therapy LLCGroup PAC ID 4981851698, 3 clinicians

Practice addresses (Care Compare)

14 Ayers LN
Little Silver, NJ 07739-1201
Phone (732) 859-1028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA007694NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Physical Therapy, LLC Physical Therapist CurrentSince Jul 13, 2012 Accepting new patients
Live Well Physical Therapy, LLC Physical Therapist PastSince Aug 23, 2012 Accepting new patients
Volk Physical Therapy, LLC Physical Therapist Past Accepting new patients
Sports Care and Physical Rehabilitation Inc. Physical Therapist Past Accepting new patients

Locations

14 Ayers Ln
Little Silver, NJ 07739
Phone (732) 299-8788

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225113459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MANOR DR",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012468",
            "telephone_number": "732-859-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RIVER RD",
            "address_2": "SUITE 5",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043267",
            "telephone_number": "732-842-5522",
            "fax_number": "732-842-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA007694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Haven, NJ

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.