Organization Active NPI

Mary Pinero, DPT Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Inglewood, CA
National Provider Identifier
1154630002
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
26496 Issued in CA
Legal business name
MARY PINERO, DPT PHYSICAL THERAPY, PC
Practice address
501 E Hardy St
Suite 410
Inglewood, CA 90301-4054
Phone
(310) 412-0100
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. Mary Jeanne Pinero, DPT
Title
Owner
Phone
(310) 412-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 26496 CA Primary

Addresses

Primary practice location

501 E Hardy St
Suite 410
Inglewood, CA 90301-4054

Mailing address

501 E Hardy St
Suite 410
Inglewood, CA 90301-4054
Phone (310) 412-0100

Other identifiers 2

IdentifierTypeStateIssuer
DT1636OtherCAMEDICARE RR PTAN
DR572OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

501 E Hardy St
Ste 410
Inglewood, CA 90301
Phone (310) 412-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1154630002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "address_2": "SUITE 410",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014054",
            "telephone_number": "310-412-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "address_2": "SUITE 410",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014054",
            "telephone_number": "310-412-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY PINERO, DPT PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "PINERO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-412-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "26496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "DT1636",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DR572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.