Christian Physical Therapy Services PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

007428 Issued in NY

Legal business name

CHRISTIAN PHYSICAL THERAPY SERVICES PC

Practice address

4511 State Route 150
West Sand Lake, NY 12196-1824

Phone

(518) 755-3171

NPI assigned

Dec 2, 2015

Last updated

Dec 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Catherine Ann Dubois, PTNPI 1700818333

Title

Physical Therapist/President

Phone

(518) 755-3171

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine A. Dubois, PT

  • Physical Therapist
  • Chatham, NY
  • NPI 1700818333
  Authorized official Same address or phone

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1679948640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 STATE ROUTE 150",
            "city": "WEST SAND LAKE",
            "state": "NY",
            "postal_code": "121961824",
            "telephone_number": "518-755-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 STATE ROUTE 150",
            "city": "WEST SAND LAKE",
            "state": "NY",
            "postal_code": "121961824",
            "telephone_number": "518-755-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN PHYSICAL THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "518-755-3171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "007428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen P Balter, ATC
• Stuart Alan Balter, ATC
• Lisa A Burdick, RPH
• Maria Casey, COTA/L
• Center for Disability Services
• Thomas Degenero I
• Elizabeth P Donovan, LCSW
• Jacquelynn Elliott, LMT
• Kristin Jill Esposita-Ublacker
• Damian F Fleming, PHARM D

• Physical Therapy Clinic/Center in West Sand Lake, NY
• Providers in West Sand Lake, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.