Healthcare Provider Details

I. General information

NPI: 1932275385
Provider Name (Legal Business Name): CHRISTOPHER SCOTT THOMAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 LAKEVILLE RD
NEW HYDE PARK NY
11040-2506
US

IV. Provider business mailing address

1377 MOTOR PKWY STE 307
ISLANDIA NY
11749-5258
US

V. Phone/Fax

Practice location:
  • Phone: 516-326-4580
  • Fax: 516-326-0793
Mailing address:
  • Phone: 631-580-5200
  • Fax: 631-580-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number024949
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: