Active NPI
Paragon Physical Therapy, PC
- Orthopedic Physical Therapist
- Deer Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- PARAGON PHYSICAL THERAPY, PC
- Practice address
- 2100 Deer Park Ave
Ste 5
Deer Park, NY 11729-2119 - Phone
- (631) 242-9200
- Fax
- (631) 242-9202
- NPI assigned
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cheryl A. Christie, PT
- Title
- President/Owner
- Phone
- (631) 242-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Geriatric Physical Therapist | 2251G0304X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
2100 Deer Park Ave
Ste 5
Deer Park, NY 11729-2119
Mailing address
2100 Deer Park Ave
Ste 5
Deer Park, NY 11729-2119
Phone (631) 242-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
50 N Industry Ct
Deer Park, NY 11729
Phone (631) 242-9200
2100 Deer Park Ave
Ste 5
Deer Park, NY 11729
Phone (631) 242-9200
250 Executive Dr
Ste X
Edgewood, NY 11717
Phone (531) 242-9200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1306163928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DEER PARK AVE",
"address_2": "STE 5",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117292119",
"telephone_number": "631-242-9200",
"fax_number": "631-242-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DEER PARK AVE",
"address_2": "STE 5",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117292119",
"telephone_number": "631-242-9200",
"fax_number": "631-242-9202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGON PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "CHRISTIE",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "631-242-9200",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.