ELIZA NUSSDORFER (PT, DPT) – Physical Therapist, NPI 1336816776

ELIZA NUSSDORFER (PT, DPT) is a healthcare provider. based in Providence, Rhode Island. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 25644 (MA). The NPI Number for ELIZA NUSSDORFER (PT, DPT) is 1336816776

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ELIZA NUSSDORFER (PT, DPT)
NPI
1336816776
Phone
(401) 433-4172
Address
4 RICHMOND SQ STE 200
Enumeration Date
24 August 2021
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7813840500
Graduation Year
2021 (5 years ago)
PAC ID
4183021975
Group Practice PAC ID
9931270683
Professional Enrollment ID
I20210921002615
Address ID
MA021846563BR501XXHWYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for ELIZA NUSSDORFER (PT, DPT)

  • 4 RICHMOND SQ STE 200

    PROVIDENCE, RI 029065117

    Phone: (401) 433-4172

    Fax: (401) 433-0612

    Type: Mailing

  • 1395 COMMERCE WAY

    ATTLEBORO, MA 027034694

    Phone: (401) 433-4172

    Fax: (401) 433-0612

    Type: Location

  • 501 John Mahar Hwy Ste 301

    Braintree, MA 021846563

    Phone: (781) 384-0500

    Fax: (781) 848-0501

    Type: Location

  • 501 JOHN MAHAR HWY STE 301

    BRAINTREE, MA 021846563

    Phone: (781) 384-0500

    Fax: (781) 848-0501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2021-09-21

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
I20210921002615IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64746$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31243$0
97140Therapy procedure using manual technique, each 15 minutes8422$0
97161Evaluation for physical therapy, typically 20 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 02906)

Loading plans...

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: 9931270683View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
-MA
-MA
-CA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
-MA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to ELIZA NUSSDORFER (PT, DPT)?
NPI 1336816776 is assigned to ELIZA NUSSDORFER (PT, DPT) under the national enumeration system.
Is ELIZA NUSSDORFER (PT, DPT) currently active in the NPI registry?
CMS-published data lists ELIZA NUSSDORFER (PT, DPT) as an active registrant.
Does ELIZA NUSSDORFER (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ELIZA NUSSDORFER (PT, DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for ELIZA NUSSDORFER (PT, DPT)?
The page summarizes Providence, Rhode Island for ELIZA NUSSDORFER (PT, DPT); expand the address list for detail.
Is ELIZA NUSSDORFER (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1336816776. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MR. DAVID E LARSON (MSPT)

Physical Therapist
10 LIBERTY SQ # B-1
NPI: 1740288927

DR. LORI W ZASLOFF (PT DPT)

Physical Therapist
Neville Center, 640, Concord Avenue, Cambridge, Middlesex County, Massachusetts, 02474-8735, United States
NPI: 1124019658

CHRISTINE CORMIER (PT)

Physical Therapist
15, Winter Court, Weymouth, Norfolk County, Massachusetts, 02188, United States
NPI: 1457332595

CHRISTOPHER A HUNT (MSPT)

Physical Therapist
48 BEDFORD ST
NPI: 1821072224

JESSICA LYNN DOUGLAS (MSPT)

Physical Therapist
4 WATER ST
NPI: 1205814076
353, Blackstone Boulevard, Blackstone, Providence, Providence County, Rhode Island, 02906, United States
NPI: 1548230097

RACHEL QUINLAN (M.S.P.T.)

Physical Therapist
10 New Driftway Ste 301
NPI: 1922076868
11553 SW 26TH PL APT 302
NPI: 1841259439

GREGORY R DOUCETTE (MPT)

Physical Therapist
4 RICHMOND SQ STE 200
NPI: 1215992318