Andrea Pezzimenti, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

000202 Issued in CT

Practice address

400 Mill Plain Rd
Fairfield, CT 06824-5048

Phone

(203) 292-4702

NPI assigned

Jul 19, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1972341121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 JENIFORD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068244028",
            "telephone_number": "203-336-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILL PLAIN RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245048",
            "telephone_number": "203-292-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZIMENTI",
        "first_name": "ANDREA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "000202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Peterson, OTR/L
• Susan Gibson Peterson, M.S.W.L.C.S.W.
• Laura Petiford, PMHNP, LMFT
• Christopher Petrosino
• Rebecca Lynne Petrosino, PT
• Amy Philosoph, OT
• Physical Synergy, LLC
• Gabrielle S Pino, PA-C
• Richard Eric Pinsky, D.C.
• Edward Pinto, MD

• Physical Medicine & Rehabilitation Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.