Christina Margaret Petrillo, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

016003987 Issued in IL

Practice address

57 N Clinton St
Doylestown, PA 18901-3665

Phone

(630) 330-1656

NPI assigned

Sep 2, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1528052628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N CLINTON ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N CLINTON ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013665",
            "telephone_number": "630-330-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILLO",
        "first_name": "CHRISTINA",
        "middle_name": "MARGARET",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016003987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003987",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Perry
• Melissa A Perry, RPA
• Shaina Perry
• Personal Physician Services, PC
• Carol M Peterson, DC
• Deborah Ann Petrone, MA,CCC-SLP
• Emily Nicole Petrone
• Justin Philip
• Angela Piacine, COTA
• Kathrine Pickett, M.ED.

• Foot Surgery Podiatrist in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.