Individual provider Active NPI

Christina Diana Pugliese, PT, DPT

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1295332344
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046180 Issued in NY
Practice address
68 S Central Ave
Valley Stream, NY 11580-5445
Phone
(516) 825-1112
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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 046180 NY Primary

Addresses

Primary practice location

68 S Central Ave
Valley Stream, NY 11580-5445

Mailing address

907 Belmore Ave
Islip Terrace, NY 11752-1005
Phone (516) 780-2329

Other practice location 1

1163 Old Country Rd
Plainview, NY 11803-5029
Phone (516) 433-8046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220429000780 NY Practitioner - Physical Therapist in Private Practice 3476940073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Stream Physical Therapy PLLCGroup PAC ID 1355583378, 2 clinicians

Practice addresses (Care Compare)

20 W Lincoln Ave
Suite 205
Valley Stream, NY 11580-5731
Phone (516) 825-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046180NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tatis NP in Psychiatry PC CurrentSince May 18, 2025 Accepting new patients
Central Valley Stream Physical Therapy PLLC Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients
New York Physical Therapy, P.C. Physical Therapist PastSince Apr 18, 2022 Accepting new patients

Locations

1163 Old Country Rd
Ste 3
Plainview, NY 11803
Phone (516) 433-8046

68 S Central Ave
Valley Stream, NY 11580
Phone (516) 825-1112

20 W Lincoln Ave
Ste 205
Valley Stream, NY 11580
Phone (516) 825-1112

Organizations & group practices 3

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1295332344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BELMORE AVE",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521005",
            "telephone_number": "516-780-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805445",
            "telephone_number": "516-825-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118035029",
            "country_code": "US",
            "telephone_number": "516-433-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "CHRISTINA",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2022; 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.