Individual provider Active NPI

Carl C Contino, MS, PT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1003829219
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-013787-L Issued in PA
Practice address
1413 W Moyamensing Ave
Philadelphia, PA 19145-4625
Phone
(267) 639-2555
Fax
(267) 639-2632
NPI assigned
Aug 15, 2006
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 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 PT-013787-L PA Primary

Addresses

Primary practice location

1413 W Moyamensing Ave
Philadelphia, PA 19145-4625

Mailing address

1413 W Moyamensing Ave
Philadelphia, PA 19145-4625
Phone (267) 639-2555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000363 PA Practitioner - Physical Therapist in Private Practice 6608873997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT-013787-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy, P.C. Physical Therapist CurrentSince Jul 23, 2012 Accepting new patients
Chertow Orthopaedics and Sports Medicine PastSince Nov 1, 2017 Accepting new patients
Physicians Marketing and Consulting LLC Past Accepting new patients

Locations

2200 Hamilton St
Ste 212
Allentown, PA 18104
Phone (484) 273-0401

1413 W Moyamensing Ave
#1
Philadelphia, PA 19145

2417 Welsh Rd
Ste 220
Philadelphia, PA 19114

2800 S 20th St
Ste E
Philadelphia, PA 19145

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1003829219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W MOYAMENSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454625",
            "telephone_number": "267-639-2555",
            "fax_number": "267-639-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W MOYAMENSING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454625",
            "telephone_number": "267-639-2555",
            "fax_number": "267-639-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTINO",
        "first_name": "CARL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-013787-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.