Active NPI
Christopher Michael Masaitis, PT, DPT
- Physical Therapist
- Patchogue, NY
National Provider Identifier
1245508563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62 020362
- Practice address
- 201 Sunrise Hwy
Patchogue, NY 11772-1868 - Phone
- (631) 289-2200
- NPI assigned
- Dec 1, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 62 020362 | NY | Primary |
Addresses
Primary practice location
201 Sunrise Hwy
Patchogue, NY 11772-1868
Mailing address
6 Hazel Dr
Smithtown, NY 11787-4215
Phone (631) 670-7024
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 |
|---|---|---|---|
| 62 020362 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esboces | Past | Accepting new patients | |
| Eastern Suffolk Boces | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Patchogue, NY
- NPI 1073890091
-
- Public Health or Welfare Agency
- Patchogue, NY
- NPI 1093092025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1245508563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HAZEL DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874215",
"telephone_number": "631-670-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SUNRISE HWY",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721868",
"telephone_number": "631-289-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASAITIS",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62 020362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.