David J Pezzullo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

782 Issued in RI

Practice address

1 Kettle Point Ave
East Providence, RI 02914-5375

Phone

(401) 884-1177

Fax

(401) 884-8697

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians

Orthopedic Care Physician Network, LLCGroup PAC ID 7214185511, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

66.76

Promoting interoperability

96

Improvement activities

40

Cost

77

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA
• Direct secure messaging: david.pezzullo.1@13709.direct.athenahealth.com

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.

• Orthopedic Care Physician Network, LLC

  • Orthopaedic Surgery Physician
  • North Easton, MA
  • NPI 1508121070
  Medicare reassignment Care Compare group NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1013557727
  Medicare reassignment Care Compare group NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Providence, RI
  • NPI 1235181041
  Medicare reassignment
• Orthopedic Care Physician Network LLC

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1457999351
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1174557367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST",
            "address_2": "STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-330-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375",
            "telephone_number": "401-884-1177",
            "fax_number": "401-884-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZULLO",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26729",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Gomes Lopes Perry, MSW, LCSW
• Olivia Perry, PA-C
• Sara Petit
• Petito Oral Surgery
• Anthony Rocco Petito, DDS, MD
• Shelby Pezzullo, PT
• Danielle Marie Phaneuf
• Eric A Phillips, PT
• Lois Frances Pierce, RD, LDN
• Nedge Pierre Louis

• Physical Therapist in East Providence, RI
• Providers in East Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.

Verify at the official NPI Registry.