Individual provider Active NPI

Christine Marie Yanazzo, PT, OCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1457598039
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020871 Issued in NY
Practice address
271 Madison Ave
Suite 203
New York, NY 10016-1001
Phone
(212) 481-4022
Fax
(212) 481-4023
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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 020871 NY Primary

Addresses

Primary practice location

271 Madison Ave
Suite 203
New York, NY 10016-1001

Mailing address

271 Madison Ave
Suite 203
New York, NY 10016-1001
Phone (212) 481-4022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123001009 NY Practitioner - Physical Therapist in Private Practice 1658336110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

271 Madison Ave
Suite 1400
New York, NY 10016-1014
Phone (212) 481-4022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020871NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Standard Physical Therapy, PLLC Physical Therapist CurrentSince Dec 16, 2008 Accepting new patients
Gold Standard Physical Therapy Nynj, LLC Physical Therapist PastSince Jan 1, 2023 Accepting new patients

Locations

271 Madison Ave
Rm 1400
New York, NY 10016
Phone (212) 481-4022

271 Madison Ave
Ste 1407
New York, NY 10016
Phone (212) 481-4022

Organizations & group practices 2

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": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1457598039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161001",
            "telephone_number": "212-481-4022",
            "fax_number": "212-481-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161001",
            "telephone_number": "212-481-4022",
            "fax_number": "212-481-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAZZO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.