Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David J Pezzullo, PT

Individual provider Physical Therapist · NPI 1174557367

David J Pezzullo, PT is a Physical Therapist in Private Practice in East Providence, Rhode Island. Qualified in 1992, 34 years ago. Practices with University Orthopedics Inc, a 183-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
34
Licensed in
RI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1 Kettle Point Ave
East Providence, RI 02914-5375
Phone: (401) 884-1177
Fax: (401) 884-8697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 782 (RI)

Record details

NPI number1174557367
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESFebruary 15, 2019
Mailing address2 Dudley St, Ste 200, Providence, RI 02905-3236

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice University Orthopedics Inc — 183 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Providence