Active NPI
Cristine Poole, MS, PT
- Physical Therapist
- Poughkeepsie, NY
National Provider Identifier
1811032279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018506-1
- Practice address
- 1910 South Rd
Poughkeepsie, NY 12601-6027 - Phone
- (845) 454-0120
- Fax
- (845) 790-2131
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 018506-1 | NY | Primary |
Addresses
Primary practice location
1910 South Rd
Poughkeepsie, NY 12601-6027
Mailing address
1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838066 | Other | MPN | |
| 02297592 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018506 | NY | MD | Cognitive & Behavioral Psychologist |
| 018506-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1811032279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY",
"address_2": "STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "631-580-5200",
"fax_number": "631-824-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SOUTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126016027",
"telephone_number": "845-454-0120",
"fax_number": "845-790-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "CRISTINE",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018506-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "838066",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02297592",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.