Active NPI
Mary Pinero, DPT Physical Therapy, PC
- Physical Therapy Clinic/Center
- Inglewood, CA
National Provider Identifier
1154630002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 26496
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT1636 | Other | CA | MEDICARE RR PTAN |
| DR572 | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.