Active NPI
Christy Michelle Tanton, PT, DPT, MS
- Geriatric Physical Therapist
- Johnson City, NY
National Provider Identifier
1609516632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 031980-01
- Practice address
- 153 Oakdale Rd Ste 2
Johnson City, NY 13790-1007 - Phone
- (607) 217-0827
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 031980-01 | NY | Primary |
Addresses
Primary practice location
153 Oakdale Rd Ste 2
Johnson City, NY 13790-1007
Mailing address
640 Powderhouse Rd
Vestal, NY 13850-6311
Phone (607) 341-2058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220420001137 | NY | Practitioner - Physical Therapist in Private Practice | 2860889904 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031980-01 | NY | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1609516632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 POWDERHOUSE RD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138506311",
"telephone_number": "607-341-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 OAKDALE RD STE 2",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901007",
"telephone_number": "607-217-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTON",
"first_name": "CHRISTY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PT, DPT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "031980-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.