DAVID J PEZZULLO (PT) – Physical Therapist, NPI 1174557367
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
610 PHYSICAL THERAPIST IN PRIVATE PRACTICE in RI
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Provider Addresses for DAVID J PEZZULLO (PT)
2, Dudley Street, Providence, Providence County, Rhode Island, 02905, United States
STE 200
PROVIDENCE, RI 029053236
Phone: (401) 330-1428
Type: Mailing
1, Kettle Point Avenue, Kent Heights, East Providence, Providence County, Rhode Island, 02915, United States
EAST PROVIDENCE, RI 029145375
Phone: (401) 884-1177
Fax: (401) 884-8697
Type: Location
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: 2024-02-27
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040911000013 | I | Physical Therapist In Private Practice | RI | TBD |
| I20240227002291 | I | Physical Therapist In Private Practice | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 438 | 46 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 210 | 31 | $0 |
| 97530 | Therapy procedure using functional activities | 102 | 18 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 43 | 40 | $0 |
Insurance plans in this area (ZIP 02905)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MA | |
| - | RI | |
| Orthopedic Surgery | RI | |
| - | RI | |
| - | RI | |
| Orthopedic Surgery | RI | |
| Orthopedic Surgery | TX | |
| Physician Assistant | RI | |
| Physician Assistant | RI | |
| Orthopedic Surgery, Sports Medicine | RI |
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