Individual provider Active NPI

Lisa Karen Pezzullo, CRTT

  • Home Health Certified Respiratory Therapist
  • Port St Lucie, FL
National Provider Identifier
1023287471
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
TT8731 Issued in FL
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

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012962100MedicaidFL

Other names 1

  • Lisa Karen Pezzullo Other name

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

OrganizationSpecialtyStatusNew patients
Ez-Inspirations Home Health CurrentSince Jun 9, 1997 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.

Verify at the official NPI Registry.