Active NPI
Christine Carmille Lucero Espiritu
- Physical Therapist
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045752
- 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
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 | 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
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
Practice addresses (Care Compare)
6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone 7184562543106
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 66.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045752 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Pond Physical Therapy Greenpoint, P.C | Physical Therapist | Current | Accepting new patients |
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Ridgewood, NY
- NPI 1508844036
-
- Physical Therapist
- Ridgewood, NY
- NPI 1356608509
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
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.