Active NPI
Christopher M Pandolfi
- Physical Therapist
- E Northport, NY
National Provider Identifier
1912114331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0206711
- Legal business name
- CHRISTOPHER M PANDOLFI
- Doing business as
- CORE PHYSICAL THERAPY
- Practice address
- 1 Larkfield Rd
E Northport, NY 11731-1801 - Phone
- (631) 987-3911
- Fax
- (631) 422-3723
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher M Pandolfi, PT
- Title
- Pres
- Phone
- (631) 987-3911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0206711 | NY | Primary |
Addresses
Primary practice location
1 Larkfield Rd
E Northport, NY 11731-1801
Mailing address
1 Larkfield Rd
E Northport, NY 11731-1801
Phone (631) 987-3911
Other names 1
- CORE PHYSICAL THERAPY
National Provider Directory
National Provider DirectoryLocations
1 Larkfield Rd
East Northport, NY 11731
Phone (631) 624-2225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Kings Park, NY
- NPI 1225067226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1912114331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LARKFIELD RD",
"city": "E NORTHPORT",
"state": "NY",
"postal_code": "117311801",
"telephone_number": "631-987-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LARKFIELD RD",
"city": "E NORTHPORT",
"state": "NY",
"postal_code": "117311801",
"telephone_number": "631-987-3911",
"fax_number": "631-422-3723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER M PANDOLFI",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "PANDOLFI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "631-987-3911",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "0206711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CORE PHYSICAL THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in E Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.