Individual provider Active NPI

Christopher Evangelista, DPT

  • Physical Therapist
  • Cranford, NJ
National Provider Identifier
1386150118
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01768700 Issued in NJ
Practice address
210 North Ave E Ste 1
Cranford, NJ 07016-2491
Phone
(908) 276-0237
Fax
(908) 276-5692
NPI assigned
Dec 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 40QA01768700 NJ Primary

Addresses

Primary practice location

210 North Ave E Ste 1
Cranford, NJ 07016-2491

Mailing address

PO Box 416495
Boston, MA 02241-6495
Phone (631) 580-5200

Other practice location 1

408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180215001949 NJ Practitioner - Physical Therapist in Private Practice 1951661776 Reassigns benefits to 2 organizations
I20220510001894 NY Practitioner - Physical Therapist in Private Practice 1951661776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jun 23, 2021 Accepting new patients
Holsman Physical and Occupational Therapy, PC CurrentSince Dec 15, 2017 Accepting new patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince May 4, 2022 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Apr 22, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jun 23, 2021 Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Dec 15, 2017 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Mar 19, 2024 Accepting new patients

Locations

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237

15 Nathaniel Pl
Englewood, NJ 07631
Phone (201) 731-8580

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 7

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": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1386150118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416495",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416495",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH AVE E STE 1",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162491",
            "telephone_number": "908-276-0237",
            "fax_number": "908-276-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Pompton Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "070091813",
            "country_code": "US",
            "telephone_number": "973-433-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01768700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.