Active NPI
Chad Joseph Cardillo
- Physical Therapist
- Sauquoit, NY
National Provider Identifier
1831110683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022639
- Practice address
- 9643 Pinnacle Rd
Sauquoit, NY 13456-3041 - Phone
- (315) 737-7300
- Fax
- (315) 737-7301
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022639 | NY | Primary |
Addresses
Primary practice location
9643 Pinnacle Rd
Sauquoit, NY 13456-3041
Mailing address
PO Box 465
Sauquoit, NY 13456-0465
Phone (315) 736-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02398878 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050301000859 | NY | Practitioner - Physical Therapist in Private Practice | 1052364064 | Practice locations: Sauquoit, NY; West Winfield, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9643 Pinnacle Rd
Sauquoit, NY 13456-3041
Phone (315) 737-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022639 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory B. Shankman, M.D., P.C. | Past | Accepting new patients | |
| Oxford Medical Imaging P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Utica, NY
- NPI 1255458543
-
- Diagnostic Radiology Physician
- New Hartford, NY
- NPI 1992911366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1831110683",
"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": "315-737-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDILLO",
"first_name": "CHAD",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02398878",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sauquoit, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.