Individual provider Active NPI

Carri Killa, PT, DPT

  • Physical Therapist
  • Canfield, OH
National Provider Identifier
1588223283
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014976 Issued in OH
Practice address
510 W Main St
Canfield, OH 44406-1454
Phone
(330) 702-0110
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023978 PA
Physical Therapist 225100000X PT014976 OH Primary

Addresses

Primary practice location

510 W Main St
Canfield, OH 44406-1454

Mailing address

510 W Main St Ste B
Canfield, OH 44406-1454
Phone (330) 301-4762

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL outpatient@blueskytherapy.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023978PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1588223283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W MAIN ST STE B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061454",
            "telephone_number": "330-301-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W MAIN ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061454",
            "telephone_number": "330-702-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLA",
        "first_name": "CARRI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023978",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "outpatient@blueskytherapy.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "510 W Main St",
            "city": "Canfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444061454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.