MRS. CHRISTINE E GOUDREAU PTA NPI 1629361415

NPI Information

  • NPI: 1629361415
  • Provider Name: MRS. CHRISTINE E GOUDREAU, PTA
  • Classification: Registered Nurse - 163W00000X
  • Entity Type: Individual
  • Address: 150 PIKE ST
    PORT JERVIS, NY
    ZIP 12771
  • Phone: (845) 800-5974

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NPI Details

MRS. Christine E Goudreau, PTA is a registered nurse in Port Jervis, NY. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. MRS. Christine E Goudreau, PTA NPI is 1629361415. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 PIKE ST
PORT JERVIS, NY
ZIP 12771-867
Phone: (845) 800-5974

The enumeration date for this NPI number is 5/26/2011 and was last updated on 11/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse645798-01NEW YORKYes
2225200000XPhysical Therapy Assistant003470-1NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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