Mark Charles Pellman Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTT39456 Issued in FL

Practice address

3657 Cortez Rd W Ste 110
Bradenton, FL 34210-3171

Phone

(941) 739-7828

Fax

(941) 739-7838

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of South Florida College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Stevenson Physical Therapy Inc.Group PAC ID 7911890488, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.47 of 100Reported as group

Quality

80

Improvement activities

40

Cost

84.91

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• David Stevenson Physical Therapy Inc.

  • Physical Therapist
  • Sarasota, FL
  • NPI 1659359511
  Medicare reassignment Care Compare group NPD
• Alchemy Acupuncture Psychotherapy

  • Clinical Social Worker
  • Bradenton, FL
  • NPI 1972834026
  NPD (past)

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1013631738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CORK OAK ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326800",
            "telephone_number": "941-320-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103171",
            "telephone_number": "941-739-7828",
            "fax_number": "941-739-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLMAN",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT39456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel R Pelayo, M.D.
• John Dennis Pelick, FNP
• Louis Joseph Pellegrino, DO
• Martha A Pelletier, AP
• Paul Pelletreau, LCSW
• Robert L Pelot, RPH
• Pelot's Pharmacy
• Pelots Pharmacy
• Chloe Alexandra Pena Garcia
• Jillian Lee Pendergast, CCC-SLP

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.