Lyceum Physical Medicine, PC
NPI 1235422759 · Physical Medicine & Rehabilitation Physician · Philadelphia, PA
Lyceum Physical Medicine, PC is a Physical Medicine & Rehabilitation Physician organization in Philadelphia, PA (NPI 1235422759).
Provider details
- NPI number
- 1235422759
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Pezzello, Owner(215) 508-5555
- License
- MD034915E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2015-08-10
Frequently asked questions
- What is Lyceum Physical Medicine, PC's NPI number?
- Lyceum Physical Medicine, PC's National Provider Identifier (NPI) is 1235422759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lyceum Physical Medicine, PC?
- Lyceum Physical Medicine, PC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Lyceum Physical Medicine, PC located?
- Lyceum Physical Medicine, PC's practice location on file with NPPES is 6062 Ridge Avenue, Philadelphia, PA 19128.
- What is Lyceum Physical Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Lyceum Physical Medicine, PC is (215) 508-5555.
- Who is the authorized official for Lyceum Physical Medicine, PC?
- The authorized official listed on Lyceum Physical Medicine, PC's NPPES record is William Pezzello, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lyceum Physical Medicine, PC's NPI active?
- Yes — Lyceum Physical Medicine, PC's NPI (1235422759) is active in the NPPES registry as of the last update on 2015-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.