Shelby Pezzullo, PT
Physical Therapist in East Providence, Rhode Island
1114666435- Practice location
- 1 Kettle Point Ave, East Providence, RI 02914-5375
- Phone
- 401-457-1500
- Fax
- —
- Last updated
- June 3, 2022
Shelby Pezzullo is a Physical Therapist based in East Providence, RI. Shelby Pezzullo practices in East Providence, RI and has the professional credentials of PT. The NPI Number for Shelby Pezzullo is 1114666435 and holds a License No. PT01696 (RI). The current practice location address for Shelby Pezzullo is 1 Kettle Point Ave, East Providence, RI 02914-5375 and can be reached out via phone at 401-457-1500.
Provider Profile Details
- NPI Number
- 1114666435
- Provider Name
- Shelby Pezzullo
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Kettle Point Ave, East Providence, RI 02914-5375
- Phone Number
- 401-457-1500
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2022
- Last Update Date
- June 3, 2022
- Certification Date
- June 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Kettle Point Ave
East Providence, RI 02914-5375 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-5375
- Phone Number
- 401-457-1500
Provider Business Mailing Address Details
- Address
- Po Box 1119
Providence, RI 02901-1119 - City
- Providence
- State
- RI
- Zip
- 02901-1119
License Information
- License Number
- PT01696
- License State
- RI
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shelby Pezzullo, PT?
The NPI number of Shelby Pezzullo, PT is 1114666435. It was assigned on June 3, 2022 and is currently active in the NPPES registry.
What is the specialty of Shelby Pezzullo, PT?
Shelby Pezzullo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number PT01696.
Where does Shelby Pezzullo, PT practice?
The practice location is 1 Kettle Point Ave, East Providence, RI 02914-5375. The office can be reached at 401-457-1500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114666435 directly on the NPPES registry website.