Active NPI
Kendal Marks
- Physical Therapist
- Orlando, FL
National Provider Identifier
1114474780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31873
- Practice address
- 10395 Narcoossee Rd
Suite E
Orlando, FL 32832-6939 - Phone
- (407) 730-3244
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT31873 | FL | Primary |
Addresses
Primary practice location
10395 Narcoossee Rd
Suite E
Orlando, FL 32832-6939
Mailing address
9702 Avellino Ave
Apt 12202
Orlando, FL 32819
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT31873 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allin Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Orlando, FL
- NPI 1205115144
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1114474780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9702 AVELLINO AVE",
"address_2": "APT 12202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10395 NARCOOSSEE RD",
"address_2": "SUITE E",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326939",
"telephone_number": "407-730-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "KENDAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.