Stephen Pietzak
NPI 1912372731ActiveIndividual· Physical Therapist· Smithtown, NY
Physical Therapist with 360 Physical Therapy LLC, practicing in Smithtown, New York. Medicare paid $42,388 for services to 105 patients in 2024.
Overview
| NPI | 1912372731 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 4, 2015 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | LPT-30042 | AZ |
| Physical Therapist | 225100000X | 039578 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 2,118 across 7 procedure codes |
| Paid by Medicare | $42,388 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- 360 Physical Therapy LLCMesa, AZ · 86 clinicians
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All 85 physical therapists in Smithtown · All physical therapists in New York