Active NPI
Christine Marie Shea
- Physical Therapist
- Rochester, NY
National Provider Identifier
1396259750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041616
- Practice address
- 116 Meigs St Apt 2
Rochester, NY 14607-2035 - Phone
- (716) 913-2338
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041616 | NY | Primary |
Addresses
Primary practice location
116 Meigs St Apt 2
Rochester, NY 14607-2035
Mailing address
116 Meigs St Apt 2
Rochester, NY 14607-2035
Phone (716) 913-2338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041616 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041616 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1396259750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 MEIGS ST APT 2",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072035",
"telephone_number": "716-913-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 MEIGS ST APT 2",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072035",
"telephone_number": "716-913-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041616",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
- Shawn Masood, Family Health Nurse Practitioner P.C.
- Shawn Parker LCSW, PLLC
- Ishraque Shawon
- Shay Markovitch Dentistry, PLLC (Dental Implants and Periodontal Health of Rochester)
- Michelle Shayne, M.D.
- Judith Maureen Shea, DDS
- Robert Ramsey Shea, LMFT
- Tiffany R Shea, PMHNP
- Talia Sheakoski, CRNA
- Melanie Ann Shearer, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.