Individual provider Active NPI

Mark Lafrenz

  • Physical Therapy Assistant
  • Cedar Rapids, IA
National Provider Identifier
1053292326
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
078591 Issued in IA
Practice address
6325 Rockwell Dr NE
Cedar Rapids, IA 52402-7203
Phone
(319) 594-0883
NPI assigned
Sep 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 078591 IA Primary

Addresses

Primary practice location

6325 Rockwell Dr NE
Cedar Rapids, IA 52402-7203

Mailing address

6731 W 121St St Ste 100
Overland Park, KS 66209-2003
Phone (319) 594-0883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
078591IAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053292326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 W 121ST ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "319-594-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 ROCKWELL DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027203",
            "telephone_number": "319-594-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRENZ",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "078591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.