Jennifer Earl Chill, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013021L Issued in PA

Practice address

628 Lawrence Ave
Ellwood City, PA 16117-1930

Phone

(724) 758-3338

Fax

(724) 752-8878

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Earl Bertucci Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Air Physical Therapy LLC

  • Physical Therapist
  • Ellwood City, PA
  • NPI 1174611131
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366530347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 LAWRENCE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171930",
            "telephone_number": "724-758-3338",
            "fax_number": "724-752-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 LAWRENCE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171930",
            "telephone_number": "724-758-3338",
            "fax_number": "724-752-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILL",
        "first_name": "JENNIFER",
        "middle_name": "EARL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013021L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "CH1465171",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BERTUCCI",
            "middle_name": "EARL",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wesley Ann Calve, PA-C
• Zachary Joseph Cartwright
• Caitlin Casas-Cordero Marambio
• Lexie R Cearfoss
• Christopher James Chill, P.T.
• Christopher a Panek DPM PC
• Kristin Leigh Clyde, MPT
• Anthony Baron Colangelo, M.D.
• Cassandra Cook
• Kala Cunningham, MA, LPC

• Physical Therapist in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.