Individual provider Active NPI

Christina M Labby, PA-C

  • Physician Assistant
  • North Grosvenordale, CT
National Provider Identifier
1336677574
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
415 Riverside Dr
North Grosvenordale, CT 06255-2165
Phone
(860) 923-1181
NPI assigned
Jun 1, 2017
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

415 Riverside Dr
North Grosvenordale, CT 06255-2165

Mailing address

25 3Rd St Unit F
Webster, MA 01570-2739
Phone (508) 365-8637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005002652 CT Practitioner - Physician Assistant 4486929197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Thompson Medical LLCGroup PAC ID 2062739535, 3 clinicians

Practice addresses (Care Compare)

415 Riverside Dr
North Grosvenordale, CT 06255-2134
Phone (860) 923-1181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3842CTMDPsychologist

Interoperability endpoints

  • Direct secure messaging: christina.casillo.1@9244.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1336677574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 3RD ST UNIT F",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702739",
            "telephone_number": "508-365-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RIVERSIDE DR",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062552165",
            "telephone_number": "860-923-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABBY",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Grosvenordale, CT

Sources for this page

Verify at the official NPI Registry.