Mark Taylor Grandinetti, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030591 Issued in PA

Practice address

1011 W Penn Ave
Robesonia, PA 19551-9550

Phone

(610) 589-2263

Fax

(610) 589-2232

NPI assigned

Jul 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, 163 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Strive Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1659962587

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Strive Physical Therapy Specialists LLC

  • Durable Medical Equipment & Medical Supplies
  • Moorestown, NJ
  • NPI 1417745563
  NPD
• Strive Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Moorestown, NJ
  • NPI 1023609955

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1497489116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W PENN AVE",
            "city": "ROBESONIA",
            "state": "PA",
            "postal_code": "195519550",
            "telephone_number": "610-589-2263",
            "fax_number": "610-589-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDINETTI",
        "first_name": "MARK",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030591",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT023609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sharon Kay George, PTA
• Samantha Gogets, MPH, RDN, LDN
• Vanessa Lynn Hagen, L.P.C.
• Kimberly Alicia Haught, PTA
• Stacy Heckard, CRNP
• Eric John Hoffmaster, PTA
• Alyssa Hottenstein, PTA

• Physical Therapist in Robesonia, PA
• Providers in Robesonia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.