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

Mrs. Mary Pezzella, DPT

Individual provider Physical Therapist · NPI 1821844549

Mrs. Mary Pezzella, DPT is a Physical Therapist in Private Practice in Boulder, Colorado. Qualified in 2023, 3 years ago. Practices with Covell Care and Rehabilitation LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
3
Licensed in
CO
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2706 28th St
Boulder, CO 80301-1222
Phone: (303) 444-1290
Fax: (303) 444-1837
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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 19904 (CO)
Physical Therapist Taxonomy 225100000X · Licence CP027484T (CO)

Record details

NPI number1821844549
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 24, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address2706 28th St, Boulder, CO 80301-1222

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Covell Care And Rehabilitation Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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