Active NPI
Christine M. Chimento, P.T. DPT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1407818446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033406
- Practice address
- 259 Jefferson Blvd
Staten Island, NY 10312-3001 - Phone
- (718) 356-2919
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033406 | NY | Primary |
| Physical Therapist | 225100000X | 40QA01158100 | NJ |
Addresses
Primary practice location
259 Jefferson Blvd
Staten Island, NY 10312-3001
Mailing address
30 Rose LN
Staten Island, NY 10312-4541
Phone (718) 966-6954
Other practice location 1
870 Boulevard
Kenilworth, NJ 07033-1754
Phone (908) 245-5566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 Jefferson Blvd
Staten Island, NY 10312-3001
Phone (718) 356-2919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01158100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportscare of America, PC | Physical Therapist | Current | Accepting new patients |
| Core Physical Therapy & Sport Rehabilitation PC | Physical Therapist | Current | Accepting new patients |
| Premier Medical of NJ | Past | Accepting new patients |
Locations
40 Main St
Chatham, NJ 07928
Phone (973) 635-0800
870 Boulevard
Kenilworth, NJ 07033
Phone (908) 245-5566
Organizations & group practices 3
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.
-
- Physical Therapist
- Staten Island, NY
- NPI 1306979075
-
- Physical Therapist
- East Hanover, NJ
- NPI 1851484380
-
- Cardiovascular Disease Physician
- Clifton, NJ
- NPI 1316724263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1407818446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ROSE LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124541",
"telephone_number": "718-966-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 JEFFERSON BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103123001",
"telephone_number": "718-356-2919"
}
],
"practiceLocations": [
{
"address_1": "870 Boulevard",
"address_purpose": "LOCATION",
"city": "Kenilworth",
"state": "NJ",
"postal_code": "070331754",
"country_code": "US",
"telephone_number": "908-245-5566",
"fax_number": "908-245-5366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIMENTO",
"first_name": "CHRISTINE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "P.T. DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033406",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01158100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.