Individual provider Active NPI

Mark Louis Valente, P.T.

  • Orthopedic Physical Therapist
  • Pilesgrove, NJ
National Provider Identifier
1952437170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
QA00312300 Issued in NJ
Practice address
172 Marlton Rd
Pilesgrove, NJ 08098-2720
Phone
(856) 769-0252
Fax
(856) 769-8754
NPI assigned
Feb 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 QA00312300 NJ Primary

Addresses

Primary practice location

172 Marlton Rd
Pilesgrove, NJ 08098-2720

Mailing address

172 Marlton Rd
Pilesgrove, NJ 08098-2720
Phone (856) 769-0252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000630 NJ Practitioner - Physical Therapist in Private Practice 6507966363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodstown Physical Therapy, Inc.Group PAC ID 2668652033, 12 clinicians

Practice addresses (Care Compare)

84 E Grant St
Woodstown, NJ 08098-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA00312300NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodstown Physical Therapy, Inc. Orthopedic CurrentSince Jan 1, 2011 Accepting new patients
Physiotherapy Associates Inc PastSince Apr 30, 2003 Accepting new patients

Locations

84 E Grant St
Ste 3
Woodstown, NJ 08098
Phone (856) 769-4564

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952437170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 MARLTON RD",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080982720",
            "telephone_number": "856-769-0252",
            "fax_number": "856-769-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MARLTON RD",
            "city": "PILESGROVE",
            "state": "NJ",
            "postal_code": "080982720",
            "telephone_number": "856-769-0252",
            "fax_number": "856-769-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTE",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "QA00312300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pilesgrove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.