Active NPI
Lisa Karen Pezzullo, CRTT
- Home Health Certified Respiratory Therapist
- Port St Lucie, FL
National Provider Identifier
1023287471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- TT8731
- Practice address
- 10547 SW Sunray St
Port St Lucie, FL 34987-7721 - Phone
- (954) 649-4587
- Fax
- (727) 674-1816
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT8731 | FL | |
| Home Health Certified Respiratory Therapist | 2278H0200X | TT8731 | FL | Primary |
Addresses
Primary practice location
10547 SW Sunray St
Port St Lucie, FL 34987-7721
Mailing address
10547 SW Sunray St
Port St Lucie, FL 34987-7721
Phone (954) 649-4587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012962100 | Medicaid | FL |
Other names 1
- Lisa Karen Pezzullo
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez-Inspirations | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1023287471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10547 SW SUNRAY ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349877721",
"telephone_number": "954-649-4587",
"fax_number": "727-674-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10547 SW SUNRAY ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349877721",
"telephone_number": "954-649-4587",
"fax_number": "727-674-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEZZULLO",
"first_name": "LISA",
"middle_name": "KAREN",
"name_prefix": "Ms.",
"credential": "CRTT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "FL",
"license": "TT8731",
"primary": false
},
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "FL",
"license": "TT8731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012962100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "PEZZULLO",
"middle_name": "KAREN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.