Organization Active NPI

Christopher M Pandolfi

  • Physical Therapist
  • E Northport, NY
National Provider Identifier
1912114331
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0206711 Issued in NY
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

Updated by the provider on Jun 19, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.