MRS. DESPINA FAZZUOLI (PT) – Physical Therapist, NPI 1235101205

MRS. DESPINA FAZZUOLI (PT) is a healthcare provider. based in Spencer, Massachusetts. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 13273 (MA). The NPI Number for MRS. DESPINA FAZZUOLI (PT) is 1235101205

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DESPINA FAZZUOLI (PT)
NPI
1235101205
Phone
(774) 449-8058
Address
133 W MAIN ST
Enumeration Date
3 February 2006
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083478141
Graduation Year
1999 (27 years ago)
PAC ID
7416099387
Group Practice PAC ID
7618994310
Professional Enrollment ID
I20100115000463
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MRS. DESPINA FAZZUOLI (PT)

  • 133 W MAIN ST

    SPENCER, MA 015622691

    Phone: (774) 449-8058

    Fax: (777) 449-8092

    Type: Mailing

  • 179, Main Street, Sturbridge, Worcester County, Massachusetts, 01566, United States

    STURBRIDGE, MA 015661158

    Phone: (508) 347-8141

    Fax: (508) 347-7576

    Type: Mailing

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: 2010-01-15

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
I20100115000463IPhysical Therapist In Private PracticeMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities33324$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8321$0
97161Evaluation for physical therapy, typically 20 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 01562)

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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: 7618994310View full group profile
NameSpecialtyState
-MA
Occupational Therapist In Private PracticeMA
-MA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Occupational Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What number should I use to identify MRS. DESPINA FAZZUOLI (PT) for billing?
Administrative and clinical systems typically use NPI 1235101205 for MRS. DESPINA FAZZUOLI (PT).
Should I treat MRS. DESPINA FAZZUOLI (PT) as an active provider?
Patients and plans typically see MRS. DESPINA FAZZUOLI (PT) as active in the national extract.
How should patients interpret MRS. DESPINA FAZZUOLI (PT)'s specialty?
The extract shows Physical Therapist for MRS. DESPINA FAZZUOLI (PT). Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. DESPINA FAZZUOLI (PT)?
MRS. DESPINA FAZZUOLI (PT) shows a connection to Spencer, Massachusetts in registry-derived data.
Can I export MRS. DESPINA FAZZUOLI (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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