Provider Demographics
NPI:1770775587
Name:FEENEY, CHRISTOPHER C (PT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:FEENEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 HIGHWAY 35
Mailing Address - Street 2:SUITE C
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1001
Mailing Address - Country:US
Mailing Address - Phone:732-449-5858
Mailing Address - Fax:732-449-7455
Practice Address - Street 1:2100 HIGHWAY 35
Practice Address - Street 2:SUITE C
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1001
Practice Address - Country:US
Practice Address - Phone:732-449-5858
Practice Address - Fax:732-449-7455
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA007008002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049587Medicare PIN