Active NPI
Camilli Chiropractic
- Sports Physician Chiropractor
- Philadelphia, PA
National Provider Identifier
1083721666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 003519-L
- Legal business name
- CAMILLI CHIROPRACTIC
- Practice address
- 2326 S 12TH St
Philadelphia, PA 19148-3540 - Phone
- (215) 755-4836
- Fax
- (856) 251-9691
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Camilli, DC
- Title
- Chiropractor
- Phone
- (215) 755-4836
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 003519-L | PA | Primary |
Addresses
Primary practice location
2326 S 12TH St
Philadelphia, PA 19148-3540
Mailing address
2326 S 12TH St
Philadelphia, PA 19148-3540
Phone (215) 755-4836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459971 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Philadelphia, PA
- NPI 1871521641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083721666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2326 S 12TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483540",
"telephone_number": "215-755-4836",
"fax_number": "856-251-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2326 S 12TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483540",
"telephone_number": "215-755-4836",
"fax_number": "856-251-9691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMILLI CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAMILLI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "215-755-4836",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "PA",
"license": "003519-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459971",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.