Christopher Degen, PT, DPT, OCS, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

031919 Issued in NY

Practice address

3279 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7673

Phone

(631) 580-8720

Fax

(631) 580-8727

NPI assigned

Dec 20, 2019

Sex

Male

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

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1316586340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 LOCUST AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163718",
            "telephone_number": "631-379-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797673",
            "telephone_number": "631-580-8720",
            "fax_number": "631-580-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEN",
        "first_name": "CHRISTOPHER",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "031919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick Michael Danzi, PT, DPT, CSCS
• Laura Michelle Davids, M.D.
• Frances J. Davis, MS
• Ddi
• Marisa De Marco, MA, SLP-CCC
• Jessica Degonzague
• Veronica Lynn Dekoning, LMHC
• Kristen Jonelle Delaney, RPA-C
• Kristine Lynn Delesparra, LCSW
• Gabrielle Demartino

• Orthopedic Physical Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.