Charissa L. Dupont, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

008644-1 Issued in NY

Practice address

5570 Main St
Williamsville, NY 14221-5477

Phone

(716) 250-4137

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1265773873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 E MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209609",
            "telephone_number": "585-746-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215477",
            "telephone_number": "716-250-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "CHARISSA",
        "middle_name": "L.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008644-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dana Dunleavy, MD
• Andrew T Dunn, MD
• Mary Elizabeth Dunn, DDS
• Allison Dunster, R.N.
• Jenna Dupere
• Christen Dupre, FPA-P
• Lisa A Durandetto, NP
• Karen Lisa Durawa, PT
• Corinne Durett, RN
• Carol Durham, L.P.N.

• Physical Therapy Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.