Chad Joseph Cardillo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022639 Issued in NY

Legal business name

CHAD JOSEPH CARDILLO

Practice address

9643 Pinnacle Rd
Sauquoit, NY 13456-3041

Phone

(315) 737-7300

Fax

(315) 735-7301

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Chad J Cardillo, PT

Title

Physical Therapist

Phone

(315) 797-0111

Specialties & licenses 1

Addresses

Other names 1

• Elite Physical Therapy Doing business as

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360368000000",
    "number": "1710068465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134560465",
            "telephone_number": "315-736-2080",
            "fax_number": "315-736-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9643 PINNACLE RD",
            "city": "SAUQUOIT",
            "state": "NY",
            "postal_code": "134563041",
            "telephone_number": "315-737-7300",
            "fax_number": "315-735-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD JOSEPH CARDILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-02-09",
        "status": "A",
        "authorized_official_last_name": "CARDILLO",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "315-797-0111",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Borchardt
• Michele Lynn Brennan-Vuocolo, ARNP
• Cheryl Bunn, PEER SPECIALIST
• Wendy Sue Candeloro, C.O.T.A.
• Chad Joseph Cardillo
• Raelynn Christman
• Samantha Marie Critelli, RN
• Edith M Depeyster, OTR
• Anita Dervisevic, FNP
• Brenda Lee Gelfuso, P.T.A.

• Physical Therapist in Sauquoit, NY
• Providers in Sauquoit, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; 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.