Individual provider Active NPI

Mark A. Kirsch, MPT

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1154428829
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 22903 Issued in CA
Practice address
201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5778
Phone
(714) 557-9292
Fax
(714) 557-9137
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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 22903 CA Primary

Addresses

Primary practice location

201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5778

Mailing address

201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5778
Phone (714) 557-9292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000395 CA Practitioner - Physical Therapist in Private Practice 6406857705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariners Physical Therapy IncGroup PAC ID 9931100500, 5 clinicians

Practice addresses (Care Compare)

201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5785
Phone (714) 557-9292

Merit-based Incentive Payment System (MIPS)

Final score
78.86 of 100Reported as group
Quality
82.51
Improvement activities
40
Cost
52.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 22903CAMDPhysical Therapist
22903CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mariners Physical Therapy, Inc. Physical Therapist CurrentSince Oct 22, 2007 Accepting new patients

Locations

2300 University Dr
Newport Beach, CA 92660

201 Sandpointe Ave
Ste 130
Santa Ana, CA 92707
Phone (714) 557-9292

1015 Hope St
Ste F
South Pasadena, CA 91030
Phone (626) 360-6092

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1154428829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SANDPOINTE AVE",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075778",
            "telephone_number": "714-557-9292",
            "fax_number": "714-557-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SANDPOINTE AVE",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075778",
            "telephone_number": "714-557-9292",
            "fax_number": "714-557-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 22903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.