Individual provider Active NPI

Dennis Robert Ponte Jr., PT, DPT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1619253077
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18992 Issued in MA
Practice address
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone
(415) 206-8000
NPI assigned
Oct 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18992 MA Primary
Physical Therapist 225100000X 38213 CA

Addresses

Primary practice location

1001 Potrero Ave
San Francisco, CA 94110-3518

Mailing address

184R South St
Rockport, MA 01966-2347
Phone (781) 258-0781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003544 MA Practitioner - Physical Therapist in Private Practice 0446565642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine and Rehabilitation Therapy IncGroup PAC ID 7618995291, 4 clinicians

Practice addresses (Care Compare)

328 Main St
Reading, MA 01867-3618
Phone (781) 944-5246

42 Sharon St
Malden, MA 02148-5915
Phone (781) 324-0310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38213CAMDPhysical Therapist
18992MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine & Rehabilitation Therapy Inc Physical Therapist CurrentSince Jul 6, 2015 Accepting new patients
Healthy Edge Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

300 Commercial St
Ste 29
Malden, MA 02148
Phone (617) 324-0310

328 Main St
Reading, MA 01867
Phone (781) 324-0310

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": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1619253077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184R SOUTH ST",
            "city": "ROCKPORT",
            "state": "MA",
            "postal_code": "019662347",
            "telephone_number": "781-258-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTE",
        "first_name": "DENNIS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18992",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.