Active NPIIndividual providerSole proprietor

Robert A Pezzullo, COTA

Occupational Therapy Assistant in Warwick, Rhode Island

NPI Number1679697502
Practice location
161 W Shore RD Apt A9, Warwick, RI 02889-1152
Fax
—
Last updated
July 8, 2007

Robert A Pezzullo is an Occupational Therapy Assistant based in Warwick, RI. Robert A Pezzullo practices in Warwick, RI and has the professional credentials of COTA. The NPI Number for Robert A Pezzullo is 1679697502 and holds a License No. OTA00383 (RI). The current practice location address for Robert A Pezzullo is 161 W Shore RD Apt A9, Warwick, RI 02889-1152 and can be reached out via phone at 401-732-6768.

Provider Profile Details

NPI Number
1679697502
Provider Name
Robert A Pezzullo
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
161 W Shore RD Apt A9, Warwick, RI 02889-1152
Phone Number
401-732-6768
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 W Shore RD Apt A9
Warwick, RI 02889-1152
Zip
02889-1152
Phone Number
401-732-6768
Warwick, RI 02889Get directions →

Provider Business Mailing Address Details

Address
161 W Shore RD Apt A9
Warwick, RI 02889-1152
City
Warwick
State
RI
Zip
02889-1152
Phone Number
401-732-6768

License Information

License Number (1)
OTA00383
License State (1)
RI
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X · Primary
License Number (2)
03018
License State (2)
MA
Taxonomy (2)
Occupational Therapy Assistant · 224Z00000X
License Number (3)
001008
License State (3)
CT
Taxonomy (3)
Occupational Therapy Assistant · 224Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Robert A Pezzullo, COTA?

The NPI number of Robert A Pezzullo, COTA is 1679697502. It was assigned on March 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Robert A Pezzullo, COTA?

Robert A Pezzullo, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in RI under license number OTA00383.

Where does Robert A Pezzullo, COTA practice?

The practice location is 161 W Shore RD Apt A9, Warwick, RI 02889-1152. The office can be reached at 401-732-6768 (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 1679697502 directly on the NPPES registry website.

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