Individual provider Active NPI

Jillian Marie Chiappisi, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1285985754
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035322-1 Issued in NY
Practice address
1317 3Rd Avenue
6TH Floor
New York, NY 10021
Phone
(212) 288-2242
Fax
(212) 288-4388
NPI assigned
Sep 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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 035322-1 NY Primary

Addresses

Primary practice location

1317 3Rd Avenue
6TH Floor
New York, NY 10021

Mailing address

1317 3Rd Avenue
6TH Floor
New York, NY 10021
Phone (212) 288-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121212000296 NY Practitioner - Physical Therapist in Private Practice 4587816814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035322-1NYMDPhysical Therapist
035322NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Physical Therapy, PLLC Physical Therapist CurrentSince May 6, 2013 Accepting new patients
Emh Physical Therapy PC Physical Therapist PastSince Nov 1, 2012 Accepting new patients

Locations

1317 3rd Ave
Fl 9
New York, NY 10021
Phone (212) 439-1596

159 E 74th St
Ofc 1
New York, NY 10021
Phone (212) 439-1596

1317 3rd Ave
Fl 6
New York, NY 10021
Phone (212) 288-2242

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1285985754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 3RD AVENUE",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-288-2242",
            "fax_number": "212-288-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVENUE",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-288-2242",
            "fax_number": "212-288-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAPPISI",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035322-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.

Verify at the official NPI Registry.