Christiane Marie Petrillo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA003327L Issued in PA

Practice address

266 Lancaster Ave
Malvern, PA 19355-3256

Phone

(610) 644-6900

Fax

(610) 644-7160

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christiane.petrillo.1@22724.direct.athenahealth.com

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.

• Premier Orthopaedic and Sports Medicine Associates, LTD

  • Orthopaedic Surgery Physician
  • Newtown Square, PA
  • NPI 1215987243
  Medicare reassignment Care Compare group NPD
• Premier Orthopaedic and Sports Medicine Associates LTD

  • Durable Medical Equipment & Medical Supplies
  • Exton, PA
  • NPI 1497485080
  NPD
• Orthopedic Sports & Arthritis Surgery

  • Orthopaedic Surgery Physician
  • Paoli, PA
  • NPI 1316917594
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1912128653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34990",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-644-6900",
            "fax_number": "610-644-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILLO",
        "first_name": "CHRISTIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003327L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Calyx Recovery Professional Services LLC
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #17564)
• Pennsylvania Gestalt Center
• Pennsylvania Health Operations LLC (Center For Families-Malvern)
• Maureen Perno, PSYD
• Kathryn M Peyton, PT
• Philip L Weber, Psy.D., PC
• PHML, LLC (Main Line Nursing and Rehabilitation Center)
• Alexa Piantone, PHARMD
• Stephanie Brooks Pirozzi, LPC

• Medical Physician Assistant in Malvern, PA
• Providers in Malvern, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.