Christine Smith, P.T.A

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

006336 Issued in NY

Practice address

750 Hicksville Rd
Seaford, NY 11783-1328

Phone

(516) 520-6000

NPI assigned

May 11, 2009

Last updated

Aug 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1467686048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EMILIE DR",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341012",
            "telephone_number": "516-455-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HICKSVILLE RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831328",
            "telephone_number": "516-520-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "006336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST ASSISTANT",
            "identifier": "06336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rae Ann Siwick
• Cara Skolnick
• Lisa Slade, LCSW
• Robert Allen Sloane, DDS
• Alexa Catherine Smith
• Megan Catherine Sofield, OTR/L
• Alice Adriana Soliwoda
• South Shore Chiropractic and Massage Therapy PLLC
• Southeast Nassau Guidance Center
• Southeast Nassau Guidance Center Inc.

• Community Health Worker in Seaford, NY
• Providers in Seaford, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.