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MR. CHRISTOPHER PAUL DISTEFANO DPT
NPI 1396003109
Physical Therapist - Pediatrics in Ridgewood, NY

Active since April 30, 2012
1822 STEPHEN ST, RIDGEWOOD, NY 11385(347) 563-5914 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Christopher Paul Distefano Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHRISTOPHER PAUL DISTEFANO DPT (NPI 1396003109) is an individual pediatrics provider in Ridgewood, New York, licensed in New York (62 033038) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1396003109
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameMR. CHRISTOPHER PAUL DISTEFANOCredential: DPT
Location Address1822 STEPHEN STRidgewood, NY 11385-5813
Mailing Address1822 Stephen StRidgewood, NY 11385-5813 · (347) 563-5914
Phone(347) 563-5914
Sole ProprietorYes
Enumeration DateApril 30, 2012
✔ NPI 1396003109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NY · 62 033038
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1822 STEPHEN ST, Ridgewood, NY 11385
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Distefano's NPI number?

The NPI number for Christopher Distefano is 1396003109. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Christopher Distefano located?

Christopher Distefano practices at 1822 Stephen St, Ridgewood, NY 11385. The listed phone number is (347) 563-5914.

What is Christopher Distefano's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Christopher Distefano was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.