Provider Demographics
NPI:1992497945
Name:TINTI, CHRISTOPHER (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:TINTI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:EDWARD
Other - Last Name:TINTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:18 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-4081
Mailing Address - Country:US
Mailing Address - Phone:631-804-7640
Mailing Address - Fax:
Practice Address - Street 1:322 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3008
Practice Address - Country:US
Practice Address - Phone:631-228-4977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050379-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist