Kristin C Mark, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020714-1 Issued in NY

Practice address

222 Westchester Ave
Suite 101
White Plains, NY 10604-2906

Phone

(914) 227-9626

Fax

(914) 227-9630

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin C Wunner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1154337905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE",
            "address_2": "SUITE 101",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042906",
            "telephone_number": "914-227-9626",
            "fax_number": "914-227-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE",
            "address_2": "SUITE 101",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042906",
            "telephone_number": "914-227-9626",
            "fax_number": "914-227-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "KRISTIN",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020714-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WUNNER",
            "middle_name": "C",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Marino, PH.D.
• Victor Marino, MD
• Mark Gordon, MD, PC
• Mark H. Borkin, M.D., P.C.
• Alissa J Mark, MD
• Tamara Debora Mark, MS
• Tonnie C. Markley, MD
• Gary Jay Markovits, D.D.S.
• Marvin David Markowitz, PH.D.
• Roberta M. Markowitz, LCSW

• Physical Therapist in White Plains, NY
• Providers in White Plains, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.