Individual provider Active NPI

Christy McCann, PT, DPT

  • Physical Therapist
  • Riverdale, NJ
National Provider Identifier
1972102481
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01970300 Issued in NJ
Practice address
69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone
(973) 248-8111
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01970300 NJ Primary

Addresses

Primary practice location

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426

Mailing address

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone (973) 248-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123002163 NJ Practitioner - Physical Therapist in Private Practice 9537570502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Churchill Orthopedic Rehabilitation, LLCGroup PAC ID 5092812180, 4 clinicians

Practice addresses (Care Compare)

1086 Teaneck Rd
Suite 3E
Teaneck, NJ 07666-4855
Phone (201) 833-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Churchill Orthopedic Rehabilitation, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2022 Accepting new patients
Balance and Concussion Therapy Center, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2022 Accepting new patients
Wayne Foot and Ankle Center,PA PastSince Oct 31, 2021 Accepting new patients
Paramus Orthopedic Physical Therapy PastSince Oct 31, 2021 Accepting new patients

Locations

784 Franklin Ave
Ste 230
Franklin Lks, NJ 07417
Phone (201) 891-0090

1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882

1086 Teaneck Rd
Ste 3E
Teaneck, NJ 07666
Phone (201) 575-6291

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1972102481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "CHRISTY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01970300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.

Verify at the official NPI Registry.