Active NPI
Mark Contreras, PT
- Orthopedic Physical Therapist
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 300078
- Practice address
- 210 W College St
Covina, CA 91723-1902 - Phone
- (626) 967-7833
- Fax
- (626) 859-2633
- NPI assigned
- Apr 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 300078 | CA | Primary |
Addresses
Primary practice location
210 W College St
Covina, CA 91723-1902
Mailing address
210 W College St
Covina, CA 91723-1902
Phone (626) 967-7833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
289 W Huntington Dr
Suite 103
Arcadia, CA 91007-3492
Phone (626) 821-0707
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300078 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Single Specialty | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| All Star Physical Therapy | Single Specialty | Past | Accepting new patients |
Locations
289 W Huntington Dr
Ste 103
Arcadia, CA 91007
Phone (626) 821-0707
5901 W Olympic Blvd
Ste 407
Los Angeles, CA 90036
Phone (323) 917-5194
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
800 S Raymond Ave
Pasadena, CA 91105
Phone (626) 795-8051
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1790366409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W COLLEGE ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231902",
"telephone_number": "626-967-7833",
"fax_number": "626-859-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W COLLEGE ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917231902",
"telephone_number": "626-967-7833",
"fax_number": "626-859-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "MARK",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "300078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.