Individual provider Active NPI

Christopher Downey, MS, ATC, CKTP

  • Student in an Organized Health Care Education/Training Program
  • Brewerton, NY
National Provider Identifier
1992058846
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
002024-1 Issued in NY
Practice address
5380 Carrick Cir
Brewerton, NY 13029-9546
Phone
(607) 759-4199
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 002024-1 NY Primary

Addresses

Primary practice location

5380 Carrick Cir
Brewerton, NY 13029-9546

Mailing address

5380 Carrick Cir
Brewerton, NY 13029-9546

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002024-1NYMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1992058846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 CARRICK CIR",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 CARRICK CIR",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299546",
            "telephone_number": "607-759-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, CKTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "002024-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewerton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.