Individual provider Active NPI

Mark F Reinking, PT, SCS, ATC

  • Sports Physical Therapist
  • Denver, CO
National Provider Identifier
1326012568
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
119734 Issued in MO
Practice address
3333 Regis Blvd
G-4
Denver, CO 80221-1154
Phone
(303) 964-6471
NPI assigned
Feb 15, 2006
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 119734 MO Primary
Athletic Trainer 2255A2300X 119807 MO

Addresses

Primary practice location

3333 Regis Blvd
G-4
Denver, CO 80221-1154

Mailing address

3372 W 38TH Ave Apt 312
Denver, CO 80211-1963
Phone (314) 680-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119734MOMDSports Physical Therapist
119807MOMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1326012568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 W 38TH AVE APT 312",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111963",
            "telephone_number": "314-680-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 REGIS BLVD",
            "address_2": "G-4",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802211154",
            "telephone_number": "303-964-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKING",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "PT, SCS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MO",
            "license": "119734",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "119807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.