MICHELE MARTUCCI – Physical Therapist, NPI 1174111538

MICHELE MARTUCCI is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT36618 (FL). The NPI Number for MICHELE MARTUCCI is 1174111538

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE MARTUCCI
NPI
1174111538
Phone
(239) 337-2739
Address
15751 SAN CARLOS BLVD STE 4
Enumeration Date
1 January 2021
Last Update Date
1 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012569997
Graduation Year
2020 (6 years ago)
PAC ID
2466868716
Group Practice PAC ID
0749660801
Professional Enrollment ID
I20210310002454
Address ID
FL339283243ES21208RUNX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MICHELE MARTUCCI

  • 15751 SAN CARLOS BLVD STE 4

    FORT MYERS, FL 339083315

    Phone: (239) 337-2739

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210310002454IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749660801View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does MICHELE MARTUCCI share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHELE MARTUCCI uses 1174111538.
Can I rely on MICHELE MARTUCCI being an active provider?
As of the registry snapshot, MICHELE MARTUCCI is marked active.
What is MICHELE MARTUCCI's primary classification?
Physical Therapist is the headline specialty for MICHELE MARTUCCI here. Clinical services aligned with this taxonomy classification.
Where should I expect MICHELE MARTUCCI on a map?
Expect Fort Myers, Florida as a primary anchor for MICHELE MARTUCCI unless the record lists multiple sites.
Why does MICHELE MARTUCCI have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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