Individual provider Active NPI

Jill Pagliei, DC

  • Rehabilitation Chiropractor
  • Claymont, DE
National Provider Identifier
1316149677
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
F1-0000663 Issued in DE
Practice address
1201 Society Dr
Claymont, DE 19703-1777
Phone
(484) 888-9389
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X F1-0000663 DE Primary

Addresses

Primary practice location

1201 Society Dr
Claymont, DE 19703-1777

Mailing address

2540 N Providence Rd
Media, PA 19063-1905
Phone (484) 888-9389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080407000531 PA Practitioner - Chiropractic 5597842187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 Baltimore Pike
Suite 106
Chadds Ford, PA 19317-7361
Phone (484) 772-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Pagliei LLC CurrentSince May 1, 2013 Accepting new patients
State Line Health Care LLC Rehabilitation Past Accepting new patients

Locations

1290 Baltimore Pike
Ste 106
Chadds Ford, PA 19317
Phone (484) 772-1020

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1316149677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631905",
            "telephone_number": "484-888-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOCIETY DR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031777",
            "telephone_number": "484-888-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIEI",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.