Active NPI
Mark Joao, DPT, CSCS
- Physical Therapist
- Farmington, CT
National Provider Identifier
1003418591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13021
- Practice address
- 270 Farmington Ave Ste 152
Farmington, CT 06032-1926 - Phone
- (860) 677-6067
- NPI assigned
- Nov 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13021 | CT | Primary |
Addresses
Primary practice location
270 Farmington Ave Ste 152
Farmington, CT 06032-1926
Mailing address
301 Manchester Rd Ste 101
Poughkeepsie, NY 12603-2587
Phone (845) 454-4137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13021 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Ptsma Inc | Current | Accepting new patients |
Locations
270 Farmington Ave
Ste 152
Farmington, CT 06032
Phone (860) 677-6067
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Manchester, CT
- NPI 1619393337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1003418591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MANCHESTER RD STE 101",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032587",
"telephone_number": "845-454-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE STE 152",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321926",
"telephone_number": "860-677-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOAO",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.