Teresa Ann Christa, COTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002095-1 Issued in NY

Practice address

149 N Main St
Fairport, NY 14450-1434

Phone

(585) 377-2230

Fax

(585) 377-2243

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bright Start Pediatric Services

  • Early Intervention Provider Agency
  • Fairport, NY
  • NPI 1467618231
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1821369083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 SETTERS RUN",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649389",
            "telephone_number": "585-398-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501434",
            "telephone_number": "585-377-2230",
            "fax_number": "585-377-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTA",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002095-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914481",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002095-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Michele Chatt, DPT, OCS, CERT. MDT
• Anaivis Chinea Denis, RN
• Mirabai Chockalingam, M.D.
• Rebecca Chodak
• Dawn E Chomyn, LMT
• Elisabeth Christensen
• Karen M Chruscicki, MD
• Joyce Chu, M.D.
• Julie Churey, PT
• Lisa Chute, OD

• Occupational Therapist in Fairport, NY
• Providers in Fairport, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.