Mark Pettis, PTA

ActiveIndividual ProviderCommunity Health Worker
NPI issued: November 12, 2007

Quick Facts

NPI Number
1982884524
TypeIndividual
StatusActive
SpecialtyCommunity Health Worker
Taxonomy172V00000X — Community Health Worker
Phone
(219) 362-2744
StateIN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1982884524)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (November 12, 2007)
Data source: CMS NPPES

Provider Overview

MARK PETTIS, PTA is a Community Health Worker provider based in La Porte, IN who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1982884524
Provider TypeIndividual Provider
GenderMale
CredentialPTA
StatusActive
Enumeration DateNovember 12, 2007

Practice Location

CityLa Porte
StateIN
ZIP Code46350-4159
Phone(219) 362-2744

Specialties & Licenses

★ Primary
SpecialtyCommunity Health Worker
Taxonomy Code172V00000X
License StateIN

Mailing Address

CityLa Porte
StateIN
ZIP Code46350-4159
Phone(219) 362-2744
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1982884524 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1982884524for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1982884524 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Community Health Worker

Specialists in Community Health Worker provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Community Health Workerproviders →
📊
49,452
Community Health Worker Providers in the US

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People Also Ask

What is Mark Pettis's NPI number?
Mark Pettis's NPI number is 1982884524, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mark Pettis's NPI currently active?
Yes, Mark Pettis's NPI status is Active as of the latest CMS NPPES database updates.
What does Mark Pettis specialize in?
Mark Pettis specializes in Community Health Worker. The healthcare taxonomy code associated with this specialty is 172V00000X.
Where does Mark Pettis practice?
Mark Pettis practices in La Porte, IN 46350-4159.
When was Mark Pettis's NPI issued?
Mark Pettis's NPI was issued on November 12, 2007.
What is Mark Pettis's provider type?
Mark Pettis is registered as an Individual Provider under CMS NPI Type 1.