Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Christine E Goudreau, PTA

Individual provider Registered Nurse · NPI 1629361415

Mrs. Christine E Goudreau, PTA is a Registered Nurse in Port Jervis, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

150 Pike St
Port Jervis, NY 12771-1867
Phone: (845) 800-5974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 Suffern Pl Ste A, Suffern, NY 10901-5566 — (845) 357-4500

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 645798-01 (NY)
Physical Therapy Assistant Taxonomy 225200000X · Licence 003470-1 (NY)

Record details

NPI number1629361415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 26, 2011
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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