Individual provider Active NPI

Christopher John Dauble, MSPT

  • Physical Therapist
  • Orangeburg, NY
National Provider Identifier
1477610947
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01100000 Issued in NJ
Practice address
8E Bluehill Commons
Orangeburg, NY 10962
Phone
(201) 207-4272
Fax
(201) 818-1282
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA01100000 NJ Primary

Addresses

Primary practice location

8E Bluehill Commons
Orangeburg, NY 10962

Mailing address

8E Blue Hill Commons
Orangeburg, NY 10962-2131
Phone (201) 201-4272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000524 NJ Practitioner - Physical Therapist in Private Practice 2769552447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Physical Therapy Limited PartnershipGroup PAC ID 8921261934, 8 clinicians

Practice addresses (Care Compare)

215 Old Tappan Rd
Old Tappan, NJ 07675-7000
Phone (201) 722-8887

354 Old Hook Rd
Suite G 01
Westwood, NJ 07675-3246
Phone (201) 594-9312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Physical Therapy Limited Partnership Physical Therapist CurrentSince Apr 1, 2012 Accepting new patients
Madison Spine and Physicaltherapy, Inc. Physical Therapist Past Accepting new patients
Madison PT of New Jersey, PC Physical Therapist Past Accepting new patients

Locations

105 Union Ave
Cresskill, NJ 07626

219 Richmond Ave
New Milford, NJ 07646
Phone (201) 907-3150

215 Old Tappan Rd
Old Tappan, NJ 07675
Phone (201) 666-1000

400 State Rt 17
Ste 1
Ridgewood, NJ 07450
Phone (201) 445-8600

354 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

354 Old Hook Rd
Ste G1
Westwood, NJ 07675
Phone (201) 594-9312

Organizations & group practices 3

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477610947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8E BLUE HILL COMMONS",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622131",
            "telephone_number": "201-201-4272",
            "fax_number": "201-818-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8E BLUEHILL COMMONS",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "10962",
            "telephone_number": "201-207-4272",
            "fax_number": "201-818-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUBLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01100000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.