Ethan Michael Pizzo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-TT10995 Issued in DE

Practice address

37031 Old Mill Bridge Rd Unit 2
Selbyville, DE 19975-3940

Phone

(302) 564-7476

NPI assigned

Jun 1, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services of Delaware IncGroup PAC ID 0749349231, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

16.76 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

55.86

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1912951021

  DE

  Medicare reassignment Care Compare group NPD
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Lewes, DE
  • NPI 1780310938
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1871286005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37031 OLD MILL BRIDGE RD UNIT 2",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753940",
            "telephone_number": "302-564-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZO",
        "first_name": "ETHAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-TT10995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eduardo Perez, MS, ATC, LAT
• Krystal Lynn Perrone, DPT
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Phoenix Rehabilitation and Health Services of Delaware, Inc
• Pamela Sharp Pinder, PTA
• Dominick Andrew Policare, DPT
• Cindy Popelas
• Premise Health of Delaware Medical PA
• Kimberly Corbett Prince, OTR/L
• Regenerative Health Solutions, LLC

• Physical Therapist in Selbyville, DE
• Providers in Selbyville, DE by specialty
• Physical Therapist in Delaware

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