Individual provider Active NPI

Christopher Anthony Douris, DPT

  • Physical Therapist
  • Patchogue, NY
National Provider Identifier
1437879970
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038150 Issued in NY
Practice address
29 Walnut Ave
Patchogue, NY 11772-2658
Phone
(516) 445-3123
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 038150 NY Primary

Addresses

Primary practice location

29 Walnut Ave
Patchogue, NY 11772-2658

Mailing address

29 Walnut Ave
Patchogue, NY 11772-2658
Phone (516) 248-6332

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.hellonote.com Direct

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

LicenseStateTypeSpecialty
038150NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1437879970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WALNUT AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722658",
            "telephone_number": "516-248-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WALNUT AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722658",
            "telephone_number": "516-445-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.hellonote.com",
            "affiliation": "N",
            "endpointDescription": "Hello note",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Walnut Ave",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117722658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.