Active NPI
Christine M Flynn, PT DPT NCS
- Physical Therapist
- Old Westbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0178561
- Practice address
- Northern Blvd
Academic Health Care Center Ny Institute of Technology
Old Westbury, NY 11568-8000 - Phone
- (516) 686-1300
- Fax
- (516) 686-7890
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0178561 | NY | Primary |
Addresses
Primary practice location
Northern Blvd
Academic Health Care Center Ny Institute of Technology
Old Westbury, NY 11568-8000
Mailing address
Northern Blvd
Academic Health Care Center Ny Institute of Technology
Old Westbury, NY 11568-8000
Phone (516) 686-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821048612 | Other | NY | GROUP NPI NUMBER |
| 1972594885 | Other | NY | NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Northern Blvd
Greenvale, NY 11548-1214
Phone (516) 686-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0178561 | NY | MD | Physical Therapist |
| 017856 | NY | MD | Physician Assistant |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Institute of Technology | Current | Accepting new patients | |
| New York Institute of Technology | Physical Therapist | Current | Accepting new patients |
| New York Institute of Technology | Current | Accepting new patients |
Locations
267 Carleton Ave
Central Islip, NY 11722
Phone (631) 348-3254
600 Northern Blvd
Greenvale, NY 11548
Phone (516) 686-3849
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- christine.flynn@nyitahcc.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Old Westbury, NY
- NPI 1821048612
Physical Therapist
-
- Family Medicine Physician
- Central Islip, NY
- NPI 1992738538
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1760003248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1972594885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTHERN BLVD",
"address_2": "ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY",
"city": "OLD WESTBURY",
"state": "NY",
"postal_code": "115688000",
"telephone_number": "516-686-1300",
"fax_number": "516-686-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHERN BLVD",
"address_2": "ACADEMIC HEALTH CARE CENTER NY INSTITUTE OF TECHNOLOGY",
"city": "OLD WESTBURY",
"state": "NY",
"postal_code": "115688000",
"telephone_number": "516-686-1300",
"fax_number": "516-686-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "PT DPT NCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0178561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1821048612",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1972594885",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.