Individual provider Active NPI

Christina Noonan, DPT

  • Physical Therapist
  • Lake Ronkonkoma, NY
National Provider Identifier
1831887504
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051027 Issued in NY
Practice address
286 Portion Rd # a
Lake Ronkonkoma, NY 11779-2348
Phone
(631) 710-3317
Fax
(631) 865-5252
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051027 NY Primary

Addresses

Primary practice location

286 Portion Rd # a
Lake Ronkonkoma, NY 11779-2348

Mailing address

286 Portion Rd # a
Lake Ronkonkoma, NY 11779-2348
Phone (631) 710-3317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908001286 NY Practitioner - Physical Therapist in Private Practice 3476917543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

286 A Portion Rd
Lake Ronkonkoma, NY 11779-2348
Phone (631) 710-3317

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince May 20, 2024 Accepting new patients
Home Advantage Physical Therapy PC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients

Locations

1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776

805 Broadway
Ste 100
Amityville, NY 11701
Phone (631) 608-8874

939 Atlantic Ave
Baldwin, NY 11510
Phone (516) 517-0404

4276 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-5570

6112 Jericho Tpke
Commack, NY 11725
Phone (631) 486-6060

800 E Gate Blvd
Garden City, NY 11530

214 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 268-3555

1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

3961 Long Beach Rd
Island Park, NY 11558
Phone (516) 599-8734

286A Portion Rd
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317

286 Portion Rd
#A
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

1730 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 326-4580

389 Fort Salonga Rd
Northport, NY 11768
Phone (631) 261-0444

57 Old Shore Rd
Port Washington, NY 11050
Phone (516) 464-7959

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1169 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-4800

760 Montauk Hwy
Water Mill, NY 11976
Phone (347) 754-7952

Organizations & group practices 4

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1831887504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 PORTION RD # A",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792348",
            "telephone_number": "631-710-3317",
            "fax_number": "631-865-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 PORTION RD # A",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792348",
            "telephone_number": "631-710-3317",
            "fax_number": "631-865-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "CHRISTINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.