Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Gina Tieri Pezzetti Carlstrom, PT

Individual provider Physical Therapist · NPI 1215263496

Mrs. Gina Tieri Pezzetti Carlstrom, PT is a Physical Therapist in Private Practice in Rutland, Vermont. Qualified in 1998, 28 years ago. Practices with Vermont Sports Medicine Center, a 14-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
28
Licensed in
MA
In the registry since
2009
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

545 Old Turnpike Rd
Rutland, VT 05701-7427
Phone: (617) 724-0125
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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 13169 (MA)

Record details

NPI number1215263496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 23, 2009
Last updated in NPPESMarch 30, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Vermont Sports Medicine Center — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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