Active NPI
Christie Nicole Marino, DPT
- Physical Therapist
- Valley Stream, NY
National Provider Identifier
1780355354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047783
- Practice address
- 153 E Merrick Rd
Valley Stream, NY 11580-5925 - Phone
- (516) 400-9003
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 047783 | NY | Primary |
Addresses
Primary practice location
153 E Merrick Rd
Valley Stream, NY 11580-5925
Mailing address
2352 129TH St
College Point, NY 11356-2730
Phone (646) 708-6427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Doctor,P.C | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients |
Locations
21273 26th Ave
Bayside, NY 11360
Phone (718) 747-2019
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
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.
-
- Physical Therapist
- Bayside, NY
- NPI 1568494300
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1780355354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2352 129TH ST",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113562730",
"telephone_number": "646-708-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 E MERRICK RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805925",
"telephone_number": "516-400-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "CHRISTIE",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.