MARK ROBERT IANNOTTI – Orthopedic Physical Therapist, NPI 1386697852

MARK ROBERT IANNOTTI is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT 21769 (FL). The NPI Number for MARK ROBERT IANNOTTI is 1386697852

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MARK ROBERT IANNOTTI
NPI
1386697852
Phone
(941) 486-5444
Address
303 N HURSTBOURNE PKWY
Enumeration Date
18 May 2006
Last Update Date
4 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413601988107
Graduation Year
2002 (24 years ago)
PAC ID
1254368905
Group Practice PAC ID
4385619154
Professional Enrollment ID
I20050725000452
Address ID
FL342432401SA2970XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MARK ROBERT IANNOTTI

  • North Hurstbourne Parkway, The Meadow, Louisville, Jefferson County, Kentucky, 40241, United States

    STE 200

    LOUISVILLE, KY 402225158

    Phone: (941) 486-5444

    Fax: (941) 486-5489

    Type: Mailing

  • 930, South Tamiami Trail, Venice, Sarasota County, Florida, 34285, United States

    VENICE, FL 342853653

    Phone: (941) 486-5444

    Fax: (941) 486-5489

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050725000452IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities3,86035$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,05525$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4417$0
97116Therapy procedure for walking training, each 15 minutes4116$0
97161Evaluation for physical therapy, typically 20 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 40222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385619154View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeMI
-FL

Reviews

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Frequently asked questions

How do payers reference MARK ROBERT IANNOTTI?
For MARK ROBERT IANNOTTI, use NPI 1386697852 as the unique 10-digit identifier.
Is there an active status for MARK ROBERT IANNOTTI?
For scheduling context, MARK ROBERT IANNOTTI is shown as active in the registry.
How would a patient describe MARK ROBERT IANNOTTI's focus?
For MARK ROBERT IANNOTTI, the primary taxonomy reads as Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK ROBERT IANNOTTI?
Travel planning: use Louisville, Kentucky as the reference point for MARK ROBERT IANNOTTI, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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