Active NPI
Timothy J Pugliese, PT
- Physical Therapist
- Avon, OH
National Provider Identifier
1336341387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012628
- Practice address
- 1965 Recreation LN
Avon, OH 44011-1174 - Phone
- (440) 328-3499
- Fax
- (440) 328-3495
- NPI assigned
- Jun 1, 2007
- Last updated
- Feb 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012628 | OH | Primary |
Addresses
Primary practice location
1965 Recreation LN
Avon, OH 44011-1174
Mailing address
322 Westwind Dr
Avon Lake, OH 44012-2422
Phone (630) 772-1075
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1336341387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 WESTWIND DR",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122422",
"telephone_number": "630-772-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 RECREATION LN",
"city": "AVON",
"state": "OH",
"postal_code": "440111174",
"telephone_number": "440-328-3499",
"fax_number": "440-328-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLIESE",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "012628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.