Individual provider Active NPI

Regan Christie

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1265974356
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02068400 Issued in NJ
Practice address
1 Clyde Rd Ste 101
Somerset, NJ 08873-3493
Phone
(848) 216-3163
NPI assigned
Nov 7, 2016
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 40QA02068400 NJ Primary

Addresses

Primary practice location

1 Clyde Rd Ste 101
Somerset, NJ 08873-3493

Mailing address

1 Clyde Road Unit 101
Somerset, NJ 08873-4558
Phone (848) 216-3163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019000125 NJ Practitioner - Physical Therapist in Private Practice 7416226113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Clyde Rd
Somerset, NJ 08873-3493
Phone (848) 213-3163

1025 Schmidt LN
North Brunswick, NJ 08902-1355
Phone (908) 208-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02068400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New York Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Jun 23, 2017 Accepting new patients
Synaptic Rehabilitation, LLC Physical Therapist CurrentSince Oct 6, 2022 Accepting new patients
Genesis Rehabilitation LLC Physical Therapist CurrentSince Nov 8, 2022 Accepting new patients
Synaptic Rehab Bridgewater Physical Therapist PastSince Oct 6, 2022 Accepting new patients

Locations

1 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 565-7770

2444 Walton Ave
Bronx, NY 10468
Phone (718) 220-8293

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1265974356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLYDE ROAD UNIT 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734558",
            "telephone_number": "848-216-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLYDE RD STE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733493",
            "telephone_number": "848-216-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "REGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02068400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.