Active NPI
Christine Anne Athan, M.S.P.T.
- Physical Therapist
- Commack, NY
National Provider Identifier
1972669034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020271
- Practice address
- 77 Veterans Hwy
Suite 5
Commack, NY 11725-3410 - Phone
- (631) 499-4344
- NPI assigned
- Dec 30, 2006
- Last updated
- Aug 7, 2011
- 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 | 020271 | NY | Primary |
Addresses
Primary practice location
77 Veterans Hwy
Suite 5
Commack, NY 11725-3410
Mailing address
49 Westcliff Dr
Dix Hills, NY 11746-5627
Phone (631) 673-4147
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
| License | State | Type | Specialty |
|---|---|---|---|
| 020271 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312675200000",
"number": "1972669034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WESTCLIFF DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465627",
"telephone_number": "631-673-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 VETERANS HWY",
"address_2": "SUITE 5",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253410",
"telephone_number": "631-499-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHAN",
"first_name": "CHRISTINE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2011-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.