Active NPI
Christopher Codoner, P.T.
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1487861910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013746
- Practice address
- 28 Victoria Rd
Staten Island, NY 10312-1816 - Phone
- (917) 991-3590
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013746 | NY | Primary |
Addresses
Primary practice location
28 Victoria Rd
Staten Island, NY 10312-1816
Mailing address
28 Victoria Rd
Staten Island, NY 10312-1816
Phone (917) 991-3590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1270 51St St
Brooklyn, NY 11219-3661
Phone (718) 854-1051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nya Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| In House Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Score Rehabilitation Physical and Occupational Therapy Services, PLLC | Physical Therapist | Past | Accepting new patients |
| Better Motion Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
Organizations & group practices 5
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1821416991
-
- Physical Therapy Clinic/Center
- Staten Island, NY
- NPI 1003118829
Physical Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
-
- Physical Therapist
- Brooklyn, NY
- NPI 1891359014
-
- Home Health Agency
- Astoria, NY
- NPI 1336448505
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1487861910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 VICTORIA RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121816",
"telephone_number": "917-991-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 VICTORIA RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121816",
"telephone_number": "917-991-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODONER",
"first_name": "CHRISTOPHER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.