Active NPI
Mark Alan Kargela, PT
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1992991848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11339
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5452 - Phone
- (480) 301-8000
- NPI assigned
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011596 | MI | |
| Physical Therapist | 225100000X | 11339 | AZ | Primary |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19389 N 59TH Ave
Glendale, AZ 85308-6500
Phone (623) 537-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11339 | AZ | MD | Physical Therapist |
| 5501011596 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Current | Accepting new patients | |
| Midwestern University | Current | Accepting new patients | |
| Southern Michigan Pain Consultants PC | Past | Accepting new patients | |
| Michigan Pain Consultants PC | Past | Accepting new patients | |
| Stanton Crossings Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
19389 N 59th Ave
Glendale, AZ 85308
5815 W Utopia Rd
Glendale, AZ 85308
Phone (623) 806-7797
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJDADD
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
-
- Optometrist
- Downers Grove, IL
- NPI 1295126324
-
- Pain Medicine (Anesthesiology) Physician
- Grand Rapids, MI
- NPI 1467418574
-
- Interventional Pain Medicine Physician
- Portage, MI
- NPI 1538119391
-
- Physical Therapist
- West Olive, MI
- NPI 1609802313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1992991848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARGELA",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011596",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.