Individual provider Active NPI

Anthony Michael Mark, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Seattle, WA
National Provider Identifier
1043596679
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
PT60228289 Issued in WA
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

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120120000441 WA Practitioner - Physical Therapist in Private Practice 8426225111 Reassigns benefits to 2 organizations

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
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

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

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center CurrentSince Aug 10, 2011 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Sep 20, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 10, 2011 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.

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.

Verify at the official NPI Registry.