Individual provider Active NPI

Nina Mortelliti, DPT

  • Physical Therapist
  • West Chester, PA
National Provider Identifier
1174050298
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025524 Issued in PA
Practice address
790 E Market St Ste 290
West Chester, PA 19382-4891
Phone
(610) 696-3305
Fax
(610) 696-3306
NPI assigned
May 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT025524 PA Primary

Addresses

Primary practice location

790 E Market St Ste 290
West Chester, PA 19382-4891

Mailing address

790 E Market St Ste 290
West Chester, PA 19382-4891
Phone (610) 696-3305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720000462 PA Practitioner - Physical Therapist in Private Practice 4284904434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

245 E Chestnut St
Coatesville, PA 19320-3232
Phone (610) 466-7060

605 Airport Rd
West Chester, PA 19380-5932
Phone (610) 696-3305

790 E Market St
Suite 290
West Chester, PA 19382-4891
Phone (610) 696-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

245 E Chestnut St
Coatesville, PA 19320
Phone (610) 383-0825

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

438 Lincoln Way E
New Oxford, PA 17350
Phone (717) 479-5216

790 E Market St
Ste 290
West Chester, PA 19382
Phone (610) 696-3305

Organizations & group practices 2

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174050298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E MARKET ST STE 290",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824891",
            "telephone_number": "610-696-3305",
            "fax_number": "610-696-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E MARKET ST STE 290",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824891",
            "telephone_number": "610-696-3305",
            "fax_number": "610-696-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTELLITI",
        "first_name": "NINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.