Chad Joseph Cardillo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022639 Issued in NY

Legal business name

CHAD JOSEPH CARDILLO

Doing business as

Elite Physical Therapy

Practice address

9643 Pinnacle Rd
Sauquoit, NY 13456-3041

Phone

(315) 737-7300

Fax

(315) 735-7301

NPI assigned

Oct 18, 2006

Last updated

Feb 9, 2013By the provider in NPPES

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, PTNPI 1831110683

Title

Physical Therapist

Phone

(315) 797-0111

Specialties & licenses 1

Addresses

Other names 1

• Elite Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad Joseph Cardillo

  • Physical Therapist
  • Sauquoit, NY
  • NPI 1831110683
  Authorized official Same address or phone

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.