What is Mark Pettis's NPI number?

Mark Pettis's National Provider Identifier (NPI) is 1982884524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Pettis's specialty?

Mark Pettis is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Mark Pettis located?

Mark Pettis's practice location on file with NPPES is 203 Stanley Ct, La Porte, IN 46350-4159.

What is Mark Pettis's phone number?

The practice phone number listed in the NPPES registry for Mark Pettis is (219) 362-2744.

Is Mark Pettis's NPI active?

Yes — Mark Pettis's NPI (1982884524) is active in the NPPES registry as of the last update on 2008-08-25.

IndividualActive

Mark Pettis, PTA

NPI 1982884524 · Community Health Worker · La Porte, IN

Mark Pettis, PTA is a Community Health Worker provider in La Porte, IN (NPI 1982884524).

Provider details

NPI number: 1982884524
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Credential: PTA
Sex: Male
Sole proprietor: Yes
License: 06003247A (IN)

Specialties & taxonomies

Community Health WorkerPrimary172V00000XLicense 06003247A (IN)
Other Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

203 Stanley Ct

La Porte, IN 46350-4159

Phone: (219) 362-2744

Street-level locationGet directions

Mailing address