Mark Elliot Wurster, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7136 Issued in MA

Practice address

872 Smithfield Ave
Lincoln, RI 02865-3500

Phone

(401) 722-0012

Fax

(401) 722-0056

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East Greenwich Spine & Sport, Inc.

  • Physical Medicine & Rehabilitation Physician
  • East Greenwich, RI
  • NPI 1588689129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1003908906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "address_2": "STE 305",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062753",
            "telephone_number": "401-722-0012",
            "fax_number": "401-722-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 SMITHFIELD AVE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028653500",
            "telephone_number": "401-722-0012",
            "fax_number": "401-722-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURSTER",
        "first_name": "MARK",
        "middle_name": "ELLIOT",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "822",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "7136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MA",
            "identifier": "0000Y66669",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "7857-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "050504796",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "402345",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Williams, LMHC
• Olayide R Williams
• Patrick Willson, PT
• Megan Wing, RDN
• Abigail Christy Wray
• Eileen Lowney Wynne
• Sarah Lilyanne Xavier, D.O.
• Hugo Yamada, MD
• Linda S Young, APRN BC, DNP
• Karen Joan Zangari, R.D.

• Physical Therapist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.