Individual provider Active NPI

Mary Jeanne Waskowitz Waskowitz Pinero, DPT

  • Orthopedic Physical Therapist
  • Inglewood, CA
National Provider Identifier
1427202183
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
26496 Issued in CA
Practice address
501 E Hardy St
Suite 410
Inglewood, CA 90301-4054
Phone
(310) 412-0100
Fax
(310) 412-0110
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 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 names 1

  • Dr. Mary Jeanne Waskowitz Carnevale Former name

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
26496CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Occupational Medical Group, Inc. PastSince Jun 16, 2010 Accepting new patients
Inglewood Physical Therapy Inc. Orthopedic Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1427202183",
    "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",
            "fax_number": "310-412-0110"
        },
        {
            "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",
            "fax_number": "310-412-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKOWITZ PINERO",
        "first_name": "MARY",
        "middle_name": "JEANNE WASKOWITZ",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "26496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CARNEVALE",
            "middle_name": "JEANNE WASKOWITZ",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 10, 2010; 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.