NICCOLO IANNELLO DPT
NPI 1043145121
Physical Therapist in Surprise, AZ

Active since June 17, 2026Accepts Medicare Assignment
13967 W GRAND AVE STE 100, SURPRISE, AZ 85374(623) 474-3952 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niccolo Iannello Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICCOLO IANNELLO DPT (NPI 1043145121) is an individual physical therapist in Surprise, Arizona, licensed in Arizona (LPT-034828) and active in the NPI registry since June 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1043145121
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNICCOLO IANNELLOCredential: DPT
Location Address13967 W GRAND AVE STE 100Surprise, AZ 85374-3732
Mailing Address5016 N 196th AveLitchfield Park, AZ 85340-9582
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1043145121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in AZ · LPT-034828
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
13967 W GRAND AVE STE 100, Surprise, AZ 85374

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niccolo Iannello Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072077130
PECOS Enrollment IDI20260709005035

Medicare Billing Reassignment

Medicare enrollment records show Niccolo Iannello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
15410 S MOUNTAIN PKWY, SUITE 112
Phoenix, AZ 85044
  • Reassigned Medicare billing, Arizona enrollment
  • 261 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
13967 W GRAND AVE STE 100
SURPRISE, AZ 85374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niccolo Iannello's NPI number?

The NPI number for Niccolo Iannello is 1043145121. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Niccolo Iannello located?

Niccolo Iannello practices at 13967 W Grand Ave Ste 100, Surprise, AZ 85374. The listed phone number is (623) 474-3952.

What is Niccolo Iannello's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Niccolo Iannello enrolled in Medicare?

Yes. Niccolo Iannello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Niccolo Iannello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niccolo Iannello reassigns Medicare benefits to Foothills Sports Medicine & Rehabilitation, LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niccolo Iannello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niccolo Iannello accept?

Health plans from Blue Cross Blue Shield of Arizona list Niccolo Iannello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Niccolo Iannello was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.