Active NPI
Lindsey Pezzo, PT
- Physical Therapist
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023492
- Practice address
- 116 Foxbank Plantation Blvd Ste E
Moncks Corner, SC 29461-6706 - Phone
- (843) 761-4622
- Fax
- (843) 761-4625
- NPI assigned
- Jul 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | SC | ||
| Physical Therapist | 225100000X | 10233 | CT | |
| Physical Therapist | 225100000X | 070023492 | IL | Primary |
Addresses
Primary practice location
116 Foxbank Plantation Blvd Ste E
Moncks Corner, SC 29461-6706
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
225 N Michigan Ave Ste C141
Chicago, IL 60601-7757
Phone (312) 861-0751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 Foxbank Plantation Blvd
Suite E
Moncks Corner, SC 29461-6706
Phone (843) 761-4622
4237 River Hills Dr
Suite 120
Little River, SC 29566-6444
Phone (843) 249-5616
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 89.43
- Improvement activities
- 40
- Cost
- 74.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
33299 Collection Ctr Dr
Chicago, IL 60693
225 N Michigan Ave
Lbby C141
Chicago, IL 60601
Phone (312) 861-0751
33205 Collection Ctr Dr
Chicago, IL 60693
4307 S Pulaski Rd
Chicago, IL 60632
Phone (773) 916-4673
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
4237 River Hills Dr
Ste 120
Little River, SC 29566
Phone (843) 249-5616
116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622
8161 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-3685
9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140
Organizations & group practices 8
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.
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1093201527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 FOXBANK PLANTATION BLVD STE E",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294616706",
"telephone_number": "843-761-4622",
"fax_number": "843-761-4625"
}
],
"practiceLocations": [
{
"address_1": "225 N Michigan Ave Ste C141",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606017757",
"country_code": "US",
"telephone_number": "312-861-0751",
"fax_number": "312-861-0752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEZZO",
"first_name": "LINDSEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10233",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.