Individual provider Active NPI

Joseph R Chrillo, M.S., P.T.

  • Physical Therapist
  • Murrysville, PA
National Provider Identifier
1821051236
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002605L Issued in PA
Practice address
4576 William Penn Hwy
Murrysville, PA 15668-2002
Phone
(724) 325-1610
Fax
(724) 733-2703
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002605L PA Primary

Addresses

Primary practice location

4576 William Penn Hwy
Murrysville, PA 15668-2002

Mailing address

438 Pellis Rd
Suite 101
Greensburg, PA 15601-7900
Phone (724) 850-7587

Other identifiers 2

IdentifierTypeStateIssuer
0015999900004MedicaidPA
0015999900003MedicaidPA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT002605LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1821051236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 PELLIS RD",
            "address_2": "SUITE 101",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017900",
            "telephone_number": "724-850-7587",
            "fax_number": "724-850-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156682002",
            "telephone_number": "724-325-1610",
            "fax_number": "724-733-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRILLO",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002605L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015999900004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015999900003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.