Individual provider Active NPI

Christopher Tyler Durante, DPT, PT

  • Physical Therapist
  • Nutley, NJ
National Provider Identifier
1659835114
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01842500 Issued in NJ
Practice address
265 Franklin Ave
Nutley, NJ 07110-2712
Phone
(973) 661-1207
Fax
(973) 661-1843
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 40QA01842500 NJ Primary

Addresses

Primary practice location

265 Franklin Ave
Nutley, NJ 07110-2712

Mailing address

265 Franklin Ave
Nutley, NJ 07110-2712
Phone (973) 661-1207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709000045 NJ Practitioner - Physical Therapist in Private Practice 3072848423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durante Physical TherapyGroup PAC ID 9133536634, 2 clinicians

Practice addresses (Care Compare)

58 E Midland Ave
Paramus, NJ 07652-2958
Phone (201) 578-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01842500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince May 14, 2019 Accepting new patients
Durante Physical Therapy Physical Therapist CurrentSince Apr 28, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Pro Staff Physical Therapy PC PastSince May 18, 2025 Accepting new patients

Locations

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1659835114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102712",
            "telephone_number": "973-661-1207",
            "fax_number": "973-661-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102712",
            "telephone_number": "973-661-1207",
            "fax_number": "973-661-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANTE",
        "first_name": "CHRISTOPHER",
        "middle_name": "TYLER",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01842500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.