Christopher Ryan Dekker, PT
Individual provider Active NPI Physical Therapist · Lewiston, NY
NPI 1982862041 · NPPES record last updated Feb 10, 2009
Key facts
- NPI
- 1982862041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0285591 (NY)
- Practice address
- 736 Cayuga St
Lewiston, NY 14092-1721 - Phone
- (716) 754-7220
- Fax
- (716) 754-9218
- NPI assigned
- May 27, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0285591 | NY | Yes |
Addresses
Primary practice location
736 Cayuga St
Lewiston, NY 14092-1721
Mailing address
736 Cayuga Street
Lewiston, NY 14092
Phone (716) 754-7220
Other providers in Lewiston, NY
- CVS Albany LLC
- Laura Marjorie Debacco
- Debra M Omiatek MD
- Richard J Degiulio
- Degiulio'S Pharmacy, Inc.
- Robert F Divencenzo
- Leigh Dixon
- Steven Doermer
- Elizabeth Anne Doherty
- Jac Samuel Dorris
All providers in Lewiston, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.