Rick Martin Pezzullo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043028 Issued in NY

Practice address

21 Peekskill Hollow Rd Ste 201
Putnam Valley, NY 10579-3254

Phone

(914) 843-5491

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Harrison, NY
  • NPI 1396799409
  Medicare reassignment Care Compare group
• Elam Sports, Inc.

  • Physical Therapist
  • Pearl City, HI
  • NPI 1770512048
  NPD (past)
• Warfighter'S Clinic

  • Pain Medicine Physician
  • Kapolei, HI
  • NPI 1003357765
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1245724947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY",
            "address_2": "STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEEKSKILL HOLLOW RD STE 201",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793254",
            "telephone_number": "914-843-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZULLO",
        "first_name": "RICK",
        "middle_name": "MARTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Pepe, IBCLC
• Francesca Perez Haggan, LCSW
• Richard Andrew Peri, RN
• Gregory Perlman, LCSW
• Pamela Petkanas, L.C.S.W.
• Susan Mary Powers-Kulusic, LCSW
• Premier Medical Associates of the Hudson Valley
• Putnam Valley Central School District
• Putnam Valley Pediatrics, P.C.
• Putnam Valley Pharmacy Inc

• Physical Therapist in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.