Ryan Pezzano, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021667-1 Issued in NY

Practice address

1367 Washington Ave
Albany, NY 12206-1069

Phone

(518) 438-7926

Fax

(518) 438-8364

NPI assigned

Dec 15, 2005

Last updated

Apr 5, 2018By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicolla and Associates PT and OT Services PLLCGroup PAC ID 7315836848, 28 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicolla and Associates, PT & OT Services, PLLC

  • Specialist
  • Latham, NY
  • NPI 1487633152

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fleming Physical Therapy Consultant PC

  • Physical Therapist
  • Amsterdam, NY
  • NPI 1386941870
  Medicare reassignment NPD
• Thomas Nicolla Consulting Services, PLLC

  • Physical Therapist
  • Stamford, NY
  • NPI 1770636060
  NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1912983537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 209",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-786-1667",
            "fax_number": "518-786-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061069",
            "telephone_number": "518-438-7926",
            "fax_number": "518-438-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZANO",
        "first_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021667-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00467114",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02329380",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canivory Pettiway, NP
• Christi-Anna Mary Pettograsso, CRNA
• Devin Pettus
• Robin Pezdek, CRNA
• Gianna Gabrielle Pezzano, PT
• Zachery Pezze, CRNA
• Alannah Maria Pezzulo, LMSW
• John Pezzulo, D.O.
• Ashley Colleen Pfaff, M.D.
• Kurt William Pfaffenbach, ATC

• Physical Therapist in Albany, NY
• Providers in Albany, 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 Apr 5, 2018; 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.