Individual provider Active NPI

Elizabeth Cerilli, DC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1336974302
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011969 Issued in PA
Practice address
3330 W 26TH St Ste 4
Erie, PA 16506-2470
Phone
(352) 630-9187
NPI assigned
Sep 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011969 PA Primary

Addresses

Primary practice location

3330 W 26TH St Ste 4
Erie, PA 16506-2470

Mailing address

3330 W 26TH St Ste 4
Erie, PA 16506-2470
Phone (352) 630-9187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025001056 PA Practitioner - Chiropractic 6204369556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011969PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Rehabilitation, Inc Chiropractor CurrentSince Oct 7, 2024 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

106 S Hanover St
Hummelstown, PA 17036
Phone (717) 566-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1336974302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 26TH ST STE 4",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062470",
            "telephone_number": "352-630-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 26TH ST STE 4",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062470",
            "telephone_number": "352-630-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERILLI",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.