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

Individual provider Physical Therapist · NPI 1609659549

Kristen Pezzillo, MSPT, CWS is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 1999, 27 years ago. Practices with Fox Rehabilitation Services Inc, a 1,155-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
27
Licensed in
PA
In the registry since
2023
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Practice location Address checks out

100 S Juniper St
Philadelphia, PA 19107-2703
Phone: (732) 994-3200
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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 PT012813L (PA)

Record details

NPI number1609659549
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT , CWS
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Fox Rehabilitation Services Inc — 1155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Philadelphia