Originating near Crews Lake, the river flows for over 23 miles (37 km)[4] to the south and west, flowing through the Starkey Wilderness Park before turning northwest through downtown New Port Richey, entering the Gulf of Mexico at Miller's Bayou.

A Florida State Canoe Trail runs along the river.

The whole word signifies the place where canoes were chopped or dug out.

It is derived from the Creek pithlo (canoe), and chaskita (to chop out).

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