Alfred Petriello, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10322 Issued in MA

Practice address

12 Bennington St
East Boston, MA 02128-1771

Phone

(617) 569-4200

Fax

(617) 569-4200

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harbor View Physical Therapy & Sports Medicine, Inc.

  • Specialist
  • East Boston, MA
  • NPI 1114133451

  Physical Therapist

  NPD (past) Authorized official
• Physical Therapy & Sports Rehab Inc

  • Physical Therapy Clinic/Center
  • Norwood, MA
  • NPI 1073681300

  Physical Therapist

  NPD (past)
• Physical Therapy and Sports Rehab, Inc

  • Occupational Therapist
  • Norwood, MA
  • NPI 1932539269
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1992894513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281771",
            "telephone_number": "617-569-4200",
            "fax_number": "617-569-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281771",
            "telephone_number": "617-569-4200",
            "fax_number": "617-569-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIELLO",
        "first_name": "ALFRED",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306240",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Plato Patsos, DO
• James F Pedulla, M.D.
• Laurie Peluso, MS CCC-SLP
• Rosa Dinora Perez
• Viandy Mariela Perez, CNP
• Zoe Pfarrer
• Jennifer L Pfau, MD
• Girija Shrikant Phadke, MBBS
• Huong Pham
• Joachimqui Phan

• Physical Therapist in East Boston, MA
• Providers in East Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.