Charissa Louie, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

044304 Issued in NY

Practice address

515 Moe Rd
Clifton Park, NY 12065-3821

Phone

(518) 280-4294

NPI assigned

May 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1871150094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 BERYL WAY",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892983",
            "telephone_number": "518-932-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653821",
            "telephone_number": "518-280-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "CHARISSA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "044304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Francis Long, PH.D.
• Hanna Longendyke, DPT
• Theresa A Loomis, RD
• Melilnda Ann Lopatniuk, RN
• Taylir Mari Lorino, BT
• Jennifer Ann Louis-Brown, M.A., CAS
• Mary Elizabeth Love, DC
• Matthew T Lumley, PT
• M. Gretchen Grant, MD
• Stephanie Jane Macconnell, NP

• Pediatric Physical Therapist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.