Mark Alzona
Individual provider Active NPI Physical Therapist · Pago Pago, AS
NPI 1073258562 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1073258562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4106C (AS)
- Practice address
- 11155 Turner Drive
Pago Pago, AS 96799-0010 - Phone
- (684) 633-1222
- Fax
- (684) 633-2893
- NPI assigned
- Apr 29, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4106C | AS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4106C | AS | Yes |
Addresses
Primary practice location
11155 Turner Drive
Pago Pago, AS 96799-0010
Mailing address
PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222
Other providers in Pago Pago, AS
- Aitaoto Naseri Aitaoto
- Taumaloto Helen Aitaoto
- Dunstone Aleziri
- Maria Teresa Calalang Almeda
- Raymund Ramos Almeda
- American Samoa Community Cancer Coalition
- American Samoa Government, Depart of Search and Rescue
- American Samoa Medical Center
- American Samoa Medical Center
- American Samoa Medical Center
All providers in Pago Pago, AS · Physical Therapist in American Samoa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.