Edward A Vezzola, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22289 Issued in FL

Practice address

8710 College Pkwy
Fort Myers, FL 33919-4811

Phone

(239) 482-8788

Fax

(239) 482-1566

NPI assigned

Jul 14, 2006

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers School of Dental Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abbott Kagan II MD PAGroup PAC ID 9537052949, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Abbott Kagan II, M.D., P.a.

  • Specialist
  • Ft. Myers, FL
  • NPI 1235230087
  Medicare reassignment Care Compare group NPD
• MCRC Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1932154853
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609892363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 COLLEGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194811",
            "telephone_number": "239-482-8788",
            "fax_number": "239-482-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 COLLEGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194811",
            "telephone_number": "239-482-8788",
            "fax_number": "239-482-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEZZOLA",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocco Verrico
• Dawn Renee Verville, RRT
• Tim M Verwest, D.M.D.
• Very Good Mind, LLC
• Christine Vezzola, P.T.
• VG Primary Care PLLC
• Kaylee Nicole Vibbert, PA
• Vibe Counseling and Wellness Services LLC
• Tammy J. Vicari-Green, PA-C
• Katherine Vicente

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.