Active NPI
Anthony Michael Mark, DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- PT60228289
- Practice address
- 1201 Terry Ave
Mailstop: X2-SM
Seattle, WA 98101-2735 - Phone
- (206) 223-7528
- Fax
- (206) 223-7577
- NPI assigned
- Oct 27, 2011
- 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT60228289 | WA | Primary |
Addresses
Primary practice location
1201 Terry Ave
Mailstop: X2-SM
Seattle, WA 98101-2735
Mailing address
1201 Terry Ave
Mailstop: X2-SM
Seattle, WA 98101-2735
Phone (206) 223-7528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
11695 NE 4TH St
Bellevue, WA 98004-5268
Phone (425) 637-1855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients |
Locations
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1100 9th Ave
#X2
Seattle, WA 98101
1201 Terry Ave
#X2
Seattle, WA 98101
Phone (206) 223-7528
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
- NPI 1922156785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1043596679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 TERRY AVE",
"address_2": "MAILSTOP: X2-SM",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012735",
"telephone_number": "206-223-7528",
"fax_number": "206-223-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 TERRY AVE",
"address_2": "MAILSTOP: X2-SM",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012735",
"telephone_number": "206-223-7528",
"fax_number": "206-223-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "WA",
"license": "PT60228289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.