Active NPI
Mark Robert Iannotti
- Orthopedic Physical Therapist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 21769
- Practice address
- 930 Tamiami TRL S
Venice, FL 34285-3653 - Phone
- (941) 486-5444
- Fax
- (941) 486-5489
- NPI assigned
- May 18, 2006
- Last updated
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT 21769 | FL | Primary |
Addresses
Primary practice location
930 Tamiami TRL S
Venice, FL 34285-3653
Mailing address
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222-5158
Phone (941) 486-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y911K | Other | FL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
157 S Havana Rd
Venice, FL 34292-3104
Phone 9414930016320
2970 University Pkwy
Suite 105
Sarasota, FL 34243-2401
Phone 9413601988107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 21769 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loveland Center, Inc. | Current | Accepting new patients | |
| Loveland Center, Inc. | Current | Accepting new patients | |
| West Coast Therapy Solutions LLC | Orthopedic | Current | Accepting new patients |
| Maxider Corporation | Orthopedic | Current | Accepting new patients |
| Progressive Physical Therapy Service Inc. | Orthopedic | Past | Accepting new patients |
| U.S. Healthworks Medical Group of Florida, Inc. | Past | Accepting new patients | |
| Fyzbiz, LLC | Past | Accepting new patients | |
| Sunshine Rheumatology and Arthritis Center LLC | Past | Accepting new patients |
Locations
4707 140th Ave N
Ste 302
Clearwater, FL 33762
Phone (727) 223-8978
2970 University Pkwy
Ste 105
Sarasota, FL 34243
Phone (800) 605-3182
157 S Havana Rd
Venice, FL 34292
Phone (941) 493-0016
Organizations & group practices 8
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.
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1467823419
-
dba Ability First Therapy
- Rehabilitation Clinic/Center
- Venice, FL
- NPI 1528873759
-
dba FYZICAL Therapy and Balance Centers
- Rehabilitation Clinic/Center
- Fort Myers, FL
- NPI 1700248887
-
- Orthopedic Physical Therapist
- Port Charlotte, FL
- NPI 1043261233
-
dba Sunshine Rheumatology and Arthritis Center
- Rheumatology Physician
- Sun City Center, FL
- NPI 1770071433
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Valencia, CA
- NPI 1447230925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1386697852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N HURSTBOURNE PKWY",
"address_2": "STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225158",
"telephone_number": "941-486-5444",
"fax_number": "941-486-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342853653",
"telephone_number": "941-486-5444",
"fax_number": "941-486-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNOTTI",
"first_name": "MARK",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT 21769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "Y911K",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.