Individual provider Active NPI

Christine Joy Pablo Rilloraza, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1093345266
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045371 Issued in NY
Practice address
3675 E Tremont Ave
Bronx, NY 10465-2046
Phone
(347) 621-3947
Fax
(718) 824-1945
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045371 NY Primary

Addresses

Primary practice location

3675 E Tremont Ave
Bronx, NY 10465-2046

Mailing address

3675 E Tremont Ave
Bronx, NY 10465-2046
Phone (347) 621-3947

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Bronx Other Total Care Chiropractic & Physical Therapy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045371NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1093345266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652046",
            "telephone_number": "347-621-3947",
            "fax_number": "718-824-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652046",
            "telephone_number": "347-621-3947",
            "fax_number": "718-824-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILLORAZA",
        "first_name": "CHRISTINE JOY",
        "middle_name": "PABLO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Bronx",
            "affiliation": "Y",
            "affiliationName": "Total Care Chiropractic & Physical Therapy",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Bronx",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3675 E Tremont Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104652046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.