Despina Fazzuoli, PT
Individual provider Active NPI Physical Therapist · Spencer, MA
NPI 1235101205 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1235101205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13273 (MA)
- Practice address
- 133 W Main St
Spencer, MA 01562-2691 - Phone
- (774) 449-8058
- Fax
- (774) 449-8092
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100115000463 | MA | Practitioner - Physical Therapist in Private Practice | 7416099387 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13273 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Physical Therapy | Current |
Accepting new patients | |
| Quality Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Choice Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
179 Main St
Sturbridge, MA 01566
Phone (508) 347-8141
135 Main St
Ste 4
Sturbridge, MA 01566
Phone (508) 347-8141
179 Main St
Unit 5
Sturbridge, MA 01566
Phone (508) 347-8141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13273 | MA | Yes |
Addresses
Primary practice location
133 W Main St
Spencer, MA 01562-2691
Mailing address
133 W Main St
Spencer, MA 01562-2691
Phone (774) 449-8058
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469445 | Other | MA | TUFTS |
| 0319465 | Medicaid | MA | |
| 57296 | Other | MA | FALLON |
| Y67697 | Other | MA | BLUE SHIELD |
Other providers in Spencer, MA
- Maggie Holly Demaio
- Jennifer Devlin
- Ryan Dilegge
- Eden Healthcare Services, Inc
- Family Eye Care, Inc.
- Nicholas G Fillipon
- Ryan Louis Fillipon
- Terrence Fontaine
- Elizabeth A Fuller
- Javier Gamboa
All providers in Spencer, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.