Individual provider Active NPI

Christina Granata, PTA

  • Physical Therapy Assistant
  • Massapequa, NY
National Provider Identifier
1902662331
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
013069-01 Issued in NY
Practice address
913 North Broadway
Massapequa, NY 11758-2364
Phone
(516) 454-6387
NPI assigned
Feb 23, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 013069-01 NY Primary

Addresses

Primary practice location

913 North Broadway
Massapequa, NY 11758-2364

Mailing address

913 N Broadway
Massapequa, NY 11758-2364
Phone (516) 454-6387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013069-01NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Massapequa PT & Pta PLLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

913 N Broadway
North Massapequa, NY 11758
Phone (516) 454-6387

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1902662331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582364",
            "telephone_number": "516-454-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 NORTH BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582364",
            "telephone_number": "516-454-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATA",
        "first_name": "CHRISTINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013069-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.