Anthony Urillo, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008550L Issued in PA

Practice address

1109 W 15TH Street
Hazelton, PA 18201

Phone

(570) 453-0252

Fax

(570) 455-5331

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Therapeutics Inc 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modern Therapeutics Inc

  • Physical Therapist
  • Hazleton, PA
  • NPI 1235188624

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174533152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W 15TH STREET",
            "city": "HAZELTON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-453-0252",
            "fax_number": "570-455-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W 15TH STREET",
            "city": "HAZELTON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-453-0252",
            "fax_number": "570-455-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URILLO",
        "first_name": "ANTHONY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008550L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY",
            "identifier": "817795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen C Celani, DDS
• Hanny H. Hoayeck
• Daniel Michael Mazzocco Jr., DMD
• Pennsylvania CVS Pharmacy, L.L.C.
• Ross M Wezmar, DDS, PC
• Michael A Washinsky, DO

• All providers in Hazelton, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.