Individual provider Active NPI

Christine Lyn Irwin, PT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1417079278
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043582 Issued in NY
Practice address
2211 Lyell Ave Ste 102
Rochester, NY 14606-5743
Phone
(585) 426-3041
Fax
(585) 426-4031
NPI assigned
Apr 4, 2007
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11024 NC
Physical Therapist 225100000X 043582 NY Primary

Addresses

Primary practice location

2211 Lyell Ave Ste 102
Rochester, NY 14606-5743

Mailing address

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041
Phone (153) 462-3588

Other practice location 1

Bldg. H2005 Knight Lane
Navy Medicine Support Command
Jacksonville, FL 32212
Phone (910) 450-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126000030 NY Practitioner - Physical Therapist in Private Practice 4082876651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
House Call Physical Therapy of Rochester PLLCGroup PAC ID 5092098160, 5 clinicians

Practice addresses (Care Compare)

53 Westmar Dr
Rochester, NY 14624-2535
Phone (585) 851-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Physical Therapy Services of Rochester PC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
House Call Physical Therapy of Rochester PLLC CurrentSince Jul 26, 2022 Accepting new patients
Osteoarthritis Centers of America-Carlsbad, Inc. PastSince Jan 26, 2013 Accepting new patients
Finger Lakes Therapy Works Physical Therapy, Occupational Therapy, Spe PastSince Jun 11, 2023 Accepting new patients
Finger Lakes Therapy Works, Physical Therapy, Occupational Physical Therapist PastSince Mar 11, 2025 Accepting new patients

Locations

540 White Spruce Blvd
Rochester, NY 14623
Phone (585) 427-7190

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1417079278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321041",
            "telephone_number": "153-462-3588",
            "fax_number": "315-906-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LYELL AVE STE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065743",
            "telephone_number": "585-426-3041",
            "fax_number": "585-426-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg. H2005 Knight Lane",
            "address_2": "Navy Medicine Support Command",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "910-450-3905",
            "fax_number": "910-450-4558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "CHRISTINE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.