Individual provider Active NPI

Christine Carmille Lucero Espiritu

  • Physical Therapist
  • Rego Park, NY
National Provider Identifier
1851055107
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045752 Issued in NY
Practice address
6370 Woodhaven Blvd
Rego Park, NY 11374-2992
Phone
(718) 456-2545
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 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 045752 NY Primary

Addresses

Primary practice location

6370 Woodhaven Blvd
Rego Park, NY 11374-2992

Mailing address

9950 63Rd Ave Apt 3
Rego Park, NY 11374-1948
Phone (385) 477-8107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104002478 NY Practitioner - Physical Therapist in Private Practice 8527457928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Pond Physical Therapy PCGroup PAC ID 4486605342, 12 clinicians

Practice addresses (Care Compare)

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone 7184562543106

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045752NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Pond Physical Therapy Greenpoint, P.C Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

1007 Manhattan Ave
Brooklyn, NY 11222
Phone (718) 383-7361

1007 Manhattan Ave
Fl 1
Brooklyn, NY 11222
Phone (718) 383-7361

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

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.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1851055107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 63RD AVE APT 3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741948",
            "telephone_number": "385-477-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742992",
            "telephone_number": "718-456-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPIRITU",
        "first_name": "CHRISTINE CARMILLE",
        "middle_name": "LUCERO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.