Provider Demographics
NPI:1851461503
Name:SMITH-BARTON, CHRISTINE (PT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:SMITH-BARTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 RIVERHEAD RD
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-1401
Mailing Address - Country:US
Mailing Address - Phone:631-288-7767
Mailing Address - Fax:631-288-7100
Practice Address - Street 1:74 RIVERHEAD RD
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-1401
Practice Address - Country:US
Practice Address - Phone:631-288-7767
Practice Address - Fax:631-288-7100
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004540-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY015752-A64OtherHEALTHFIRST
NY00274406Medicaid
NY2365871OtherAETNA
NY6698017OtherGHI
NYAZ00175OtherMDNY
NYQH5061OtherBCBS
NY32803OtherCIGNA SPORTS REHAB WH
NY58418OtherVYTRA
NY32803OtherUS FAMILY HEALTH
NY2365871OtherAETNA