Individual provider Active NPI

Christopher Codoner, P.T.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1487861910
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013746 Issued in NY
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

Updated by the provider on Jan 14, 2010

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 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

Enrollment IDStateProvider typePAC IDDetails
I20080107000524 NY Practitioner - Physical Therapist in Private Practice 1254411069 Reassigns benefits to 3 organizations
Practice locations: Staten Island, NY

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
Nya Physical Therapy PCGroup PAC ID 4880973452, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Nya Physical Therapy PC Physical Therapist CurrentSince May 26, 2024 Accepting new patients
In House Physical Therapy PLLC Physical Therapist CurrentSince Oct 3, 2019 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Score Rehabilitation Physical and Occupational Therapy Services, PLLC Physical Therapist PastSince Jul 6, 2022 Accepting new patients
Better Motion Therapy LLC Physical Therapist PastSince Sep 1, 2019 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.

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.

Verify at the official NPI Registry.