Mark Wilson

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

230 Windsor Dr
Cortland, OH 44410-2703

Phone

(330) 637-6000

Fax

(330) 637-6002

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical TherapyGroup PAC ID 4880908011, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Performance Physical Therapy

  • Physical Therapist
  • Cortland, OH
  • NPI 1447630348
  Medicare reassignment Care Compare group NPD
• Brahms, Cohn & Leb, Inc

  • Specialist
  • Beachwood, OH
  • NPI 1972698660
  NPD (past)
• Piszel Pain Management System LLC

  • Specialist
  • Geneva, OH
  • NPI 1508167446
  NPD (past)
• Robert F Naples DO Inc

  • Family Medicine Physician
  • Cortland, OH
  • NPI 1417178344
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1093825994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WINDSOR DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102703",
            "telephone_number": "330-637-6000",
            "fax_number": "330-637-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WINDSOR DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102703",
            "telephone_number": "330-637-6000",
            "fax_number": "330-637-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "000438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Karlovic Whiting
• Lauren Whiting, COTA
• Glynis Jane Williams
• Patricia Ann Williot, LDO
• Margaret Wilson
• Deborah Lynn Wojnarski, CNP
• Kayla M Yarger, L.D.O.
• Sameh Ibrahim Youssef, M.D.
• Wei Zhang, APRN
• Elizabeth Zillinger

• Physical Therapist in Cortland, OH
• Providers in Cortland, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.