Individual provider Active NPI

Mark A Stevens, PT, DPT

  • Physical Therapist
  • Post Falls, ID
National Provider Identifier
1003302688
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8200 Issued in ID
Practice address
1160 E Polston Ave Ste B
Post Falls, ID 83854-6045
Phone
(208) 262-0156
Fax
(208) 262-0160
NPI assigned
Jul 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT8200 ID Primary

Addresses

Primary practice location

1160 E Polston Ave Ste B
Post Falls, ID 83854-6045

Mailing address

850 W Ironwood Dr Ste 202
Coeur D Alene, ID 83814-4903
Phone (208) 664-2175

Other practice location 1

1812 N Lakewood Dr Ste 100
Coeur D Alene, ID 83814-2635
Phone (208) 966-4475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181024001519 GA Practitioner - Physical Therapist in Private Practice 2163775941 Reassigns benefits to 2 organizations
I20191122000008 TN Practitioner - Physical Therapist in Private Practice 2163775941 Reassigns benefits to 1 organization
I20220530000230 ID Practitioner - Physical Therapist in Private Practice 2163775941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgery and SportsGroup PAC ID 3375519168, 28 clinicians

Practice addresses (Care Compare)

1160 E Polston Ave
Suite B
Post Falls, ID 83854-6045
Phone (208) 262-0156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8200IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 16, 2018 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Orthopedic Surgery and Sports Physical Therapist CurrentSince May 4, 2022 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Orthopedic Surgery and Sports CurrentSince May 4, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Independent Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1227 Rockbridge Rd
Ste 402
Stone Mtn, GA 30087
Phone (770) 925-9210

850 W Ironwood Dr
Ste 202
Coeur D Alene, ID 83814
Phone (208) 601-6038

1812 N Lakewood Dr
Ste 100
Coeur D Alene, ID 83814
Phone (208) 770-2971

1160 E Polston Ave
#B
Post Falls, ID 83854
Phone (208) 262-0156

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

8618 Highway 58
Ste 108
Harrison, TN 37341
Phone (423) 468-4221

Organizations & group practices 10

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1003302688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 202",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-664-2175",
            "fax_number": "208-664-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E POLSTON AVE STE B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546045",
            "telephone_number": "208-262-0156",
            "fax_number": "208-262-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 N Lakewood Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142635",
            "country_code": "US",
            "telephone_number": "208-966-4475",
            "fax_number": "208-966-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT8200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.