Provider Demographics
NPI:1174705222
Name:MCGINNIS, CHRIS JOSEPH (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:JOSEPH
Last Name:MCGINNIS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:55 STURGIS RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-1225
Mailing Address - Country:US
Mailing Address - Phone:845-707-4371
Mailing Address - Fax:845-796-0197
Practice Address - Street 1:55 STURGIS RD
Practice Address - Street 2:SUITE 2
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1225
Practice Address - Country:US
Practice Address - Phone:845-707-4371
Practice Address - Fax:845-796-0197
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0298962251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02942294Medicaid
NY02942294Medicaid