Individual provider Active NPI

Christy Perillo, DC

  • Chiropractor
  • Bethlehem, PA
National Provider Identifier
1932259801
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009888 Issued in PA
Practice address
2299 Brodhead Rd
Suite a
Bethlehem, PA 18020-8908
Phone
(610) 317-9355
Fax
(610) 371-9354
NPI assigned
Jan 11, 2007
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 009888 PA Primary

Addresses

Primary practice location

2299 Brodhead Rd
Suite a
Bethlehem, PA 18020-8908

Mailing address

PO Box 20727
Lehigh Valley, PA 18002-0727
Phone (610) 317-9355

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

State licenses

LicenseStateTypeSpecialty
009888PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Perillo Chiropractic LLP Chiropractor PastSince Sep 1, 2019 Accepting new patients
Perillo Chiropractic LLP Chiropractor PastSince Dec 10, 2008 Accepting new patients
Boro Park Chiropractic Health Wellness PC Chiropractor 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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1932259801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20727",
            "city": "LEHIGH VALLEY",
            "state": "PA",
            "postal_code": "180020727",
            "telephone_number": "610-317-9355",
            "fax_number": "610-317-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "address_2": "SUITE A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208908",
            "telephone_number": "610-317-9355",
            "fax_number": "610-371-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLO",
        "first_name": "CHRISTY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "009888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.