Active NPI
Matthew Parrillo, DPT
- Physical Therapist
- Winter Garden, FL
National Provider Identifier
1265731871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009019
- Practice address
- 16131 Hampton Crossing Dr
Winter Garden, FL 34787-9261 - Phone
- (845) 545-7778
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009019 | CT | Primary |
Addresses
Primary practice location
16131 Hampton Crossing Dr
Winter Garden, FL 34787-9261
Mailing address
16131 Hampton Crossing Dr
Winter Garden, FL 34787-9261
Phone (845) 545-7778
Other practice location 1
163 Quinnipiac Ave
North Haven, CT 06473-3623
Phone (203) 624-3303
Other practice location 2
395 Village Dr
Kissimmee, FL 34759-4012
Phone (845) 545-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101583100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035595 | NY | MD | General Practice Dentistry |
| 009019 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Physical Therapy and Wellness LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Winter Garden, FL
- NPI 1346819869
-
- Physical Therapist
- Monsey, NY
- NPI 1588814966
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1265731871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16131 HAMPTON CROSSING DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879261",
"telephone_number": "845-545-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16131 HAMPTON CROSSING DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879261",
"telephone_number": "845-545-7778"
}
],
"practiceLocations": [
{
"address_1": "163 Quinnipiac Ave",
"address_purpose": "LOCATION",
"city": "North Haven",
"state": "CT",
"postal_code": "064733623",
"country_code": "US",
"telephone_number": "203-624-3303",
"fax_number": "203-787-9243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "395 Village Dr",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347594012",
"country_code": "US",
"telephone_number": "845-545-7778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARRILLO",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101583100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.