Organization Active NPI

Michael Schill Jr DC PC

  • Physical Therapist
  • Elmwood Park, NJ
National Provider Identifier
1275680522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01095700 Issued in NJ
Legal business name
MICHAEL SCHILL JR DC PC
Practice address
511 Boulevard
Elmwood Park, NJ 07407-2038
Phone
(201) 796-5273
Fax
(201) 796-8645
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Schill Jr., DC
Title
President
Phone
(201) 796-5273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01095700 NJ Primary

Addresses

Primary practice location

511 Boulevard
Elmwood Park, NJ 07407-2038

Mailing address

511 Boulevard
Elmwood Park, NJ 07407-2038
Phone (201) 796-5273

Other names 1

  • Elmwood Park Chiro & Physical therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275680522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BOULEVARD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072038",
            "telephone_number": "201-796-5273",
            "fax_number": "201-796-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BOULEVARD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072038",
            "telephone_number": "201-796-5273",
            "fax_number": "201-796-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SCHILL JR DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-796-5273",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01095700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Park Chiro & Physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmwood Park, NJ

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.

Verify at the official NPI Registry.