Individual provider Active NPI

Cheryl A. Christie, PT, AT,C, CSCS

  • Athletic Trainer
  • Deer Park, NY
National Provider Identifier
1720048283
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000618-1 Issued in NY
Practice address
1920 Deer Park Ave
Suite 105
Deer Park, NY 11729-3324
Phone
(631) 242-9200
Fax
(631) 242-9201
NPI assigned
Mar 27, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 013622-1 NY
Athletic Trainer 2255A2300X 000618-1 NY Primary

Addresses

Primary practice location

1920 Deer Park Ave
Suite 105
Deer Park, NY 11729-3324

Mailing address

PO Box 1414
Bay Shore, NY 11706-0551
Phone (631) 327-1858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026001217 NY Practitioner - Physical Therapist in Private Practice 2567489826 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

250 Executive Dr
Suite X
Edgewood, NY 11717-8354
Phone (631) 242-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000618-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Physical Therapy, PC Orthopedic CurrentSince Mar 30, 2010 Accepting new patients

Locations

2100 Deer Park Ave
Ste 5
Deer Park, NY 11729
Phone (631) 242-9200

250 Executive Dr
Ste X
Edgewood, NY 11717
Phone (531) 242-9200

Organizations & group practices 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720048283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1414",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117060551",
            "telephone_number": "631-327-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DEER PARK AVE",
            "address_2": "SUITE 105",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293324",
            "telephone_number": "631-242-9200",
            "fax_number": "631-242-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PT, AT,C, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "013622-1",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000618-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.