Individual provider Active NPI

Brian W Pinamonti, PT

  • Physical Therapist
  • Pittsburg, KS
National Provider Identifier
1801897632
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02680 Issued in KS
Practice address
1014 S Mt Carmel PL
1
Pittsburg, KS 66762
Phone
(620) 235-1500
Fax
(620) 235-1508
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-02680 KS Primary

Addresses

Primary practice location

1014 S Mt Carmel PL
1
Pittsburg, KS 66762

Mailing address

1014 S Mt Carmel PL
1
Pittsburg, KS 66762
Phone (620) 235-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1014 S Mount Carmel PL
Pittsburg, KS 66762-6604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02680KSMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1801897632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S MT CARMEL PL",
            "address_2": "1",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-235-1500",
            "fax_number": "620-235-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S MT CARMEL PL",
            "address_2": "1",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-235-1500",
            "fax_number": "620-235-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINAMONTI",
        "first_name": "BRIAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.