Individual provider Active NPI

Christine Q Tumlos, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1689452906
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050220 Issued in NY
Practice address
577 W 161St St
New York, NY 10032-6146
Phone
(646) 833-7559
Fax
(212) 858-0657
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 050220 NY
Physical Therapist 225100000X 050220 NY Primary

Addresses

Primary practice location

577 W 161St St
New York, NY 10032-6146

Mailing address

577 W 161St St
New York, NY 10032-6146
Phone (646) 833-7559

Other practice location 1

99 Moore St Ste 1A
Brooklyn, NY 11206-3329
Phone (718) 387-0555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214003340 NY Practitioner - Physical Therapist in Private Practice 2668821778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bukhman MD PCGroup PAC ID 2961402946, 8 clinicians
La Salud Physical Therapy PLLCGroup PAC ID 4789152422, 6 clinicians

Practice addresses (Care Compare)

577 W 161St St
New York, NY 10032-6101
Phone (646) 833-7559

577 W 161St St
New York, NY 10032-6146
Phone (646) 833-7559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bukhman MD PC Physical Therapy CurrentSince Oct 30, 2023 Accepting new patients
Org Medical PLLC Physical Therapy PastSince Apr 1, 2008 Accepting new patients

Locations

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1689452906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 W 161ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326146",
            "telephone_number": "646-833-7559",
            "fax_number": "212-858-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 W 161ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326146",
            "telephone_number": "646-833-7559",
            "fax_number": "212-858-0657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Moore St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112063329",
            "country_code": "US",
            "telephone_number": "718-387-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMLOS",
        "first_name": "CHRISTINE",
        "middle_name": "Q",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "050220",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.