Erin Santilli

Individual provider Active NPI Physical Therapist · Chandler, AZ

NPI 1811006554 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1811006554
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
655 S Dobson Rd BLDG B
Chandler, AZ 85224-5667
Phone
(480) 732-0099
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6523COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Sport & Spine Physical Therapy PC Physical Therapist Past
since May 25, 1999
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

655 S Dobson Rd BLDG B
Chandler, AZ 85224-5667

Mailing address

9200W Cross Dr 520
Littleton, CO 80123-0761
Phone (303) 904-8133

Other identifiers

IdentifierTypeStateIssuer
7695OtherAZAZ BOARD OF PHYSICAL THERAPY

Other providers in Chandler, AZ

All providers in Chandler, AZ · Physical Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.