Provider Demographics
NPI:1821051236
Name:CHRILLO, JOSEPH R (MS, PT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:R
Last Name:CHRILLO
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 PELLIS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7900
Mailing Address - Country:US
Mailing Address - Phone:724-850-7587
Mailing Address - Fax:724-850-9909
Practice Address - Street 1:4576 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-2002
Practice Address - Country:US
Practice Address - Phone:724-325-1610
Practice Address - Fax:724-733-2703
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002605L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015999900004Medicaid
PA0015999900003Medicaid
PA0015999900003Medicaid
PA099269Medicare ID - Type Unspecified