Individual provider Active NPI

Mark A Pinti, PT

  • Physical Therapist
  • Nutter Fort, WV
National Provider Identifier
1003800913
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001698 Issued in WV
Practice address
435 Buckhannon Pike
Nutter Fort, WV 26301-4307
Phone
(304) 622-1600
Fax
(304) 622-4747
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001698 WV Primary

Addresses

Primary practice location

435 Buckhannon Pike
Nutter Fort, WV 26301-4307

Mailing address

435 Buckhannon Pike
Nutter Fort, WV 26301-4307
Phone (304) 622-1600

Other identifiers 1

IdentifierTypeStateIssuer
0158184000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120324000120 WV Practitioner - Physical Therapist in Private Practice 2567422371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinti Physical Therapy and Sports Medicine 4 clinicians

Practice addresses (Care Compare)

435 Buckhannon Pike
Nutter Fort, WV 26301-4307
Phone (304) 622-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001698WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinti Physical Therapy & Sports Medicine Physical Therapist CurrentSince Sep 17, 2002 Accepting new patients

Locations

435 Buckhannon Pike
Nutter Fort, WV 26301
Phone (304) 622-1600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1003800913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BUCKHANNON PIKE",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014307",
            "telephone_number": "304-622-1600",
            "fax_number": "304-622-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BUCKHANNON PIKE",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014307",
            "telephone_number": "304-622-1600",
            "fax_number": "304-622-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158184000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutter Fort, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.