Christin Noel Griskie, P.T.

Individual provider Active NPI Physical Therapist · Centerport, NY

NPI 1467570150 · NPPES record last updated Jan 20, 2011

Key facts

NPI
1467570150
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
L1599920 (NY)
Practice address
34 Harbor Heights Dr
Centerport, NY 11721-1621
Phone
(631) 757-0347
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 23812FLMDPhysical Therapist
L1599920NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X L1599920 NY Yes
Physical Therapist 225100000X PT 23812 FL

Addresses

Primary practice location

34 Harbor Heights Dr
Centerport, NY 11721-1621

Mailing address

34 Harbor Heights Dr
Centerport, NY 11721-1621
Phone (631) 757-0347

Other providers in Centerport, NY

All providers in Centerport, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.