Provider Demographics
NPI:1285985754
Name:CHIAPPISI, JILLIAN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:MARIE
Last Name:CHIAPPISI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 3RD AVENUE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-288-2242
Mailing Address - Fax:212-288-4388
Practice Address - Street 1:1317 3RD AVENUE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-288-2242
Practice Address - Fax:212-288-4388
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035322-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist