Christopher Marks, PT, DPT

Individual provider Active NPI Physical Therapist · Margaretville, NY

NPI 1164068078 · NPPES record last updated Nov 26, 2019

Key facts

NPI
1164068078
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
045295 (NY)
Practice address
42084 State Highway 28
Margaretville, NY 12455-2820
Phone
(845) 586-2631
NPI assigned
Nov 26, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seco Physical and Occupational Therapy PLLC (3 clinicians)

Practice addresses (Care Compare)

4 Cartwright Ave
Sidney, NY 13838-1206
Phone (607) 563-2929

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210317001712 NY Practitioner - Physical Therapist in Private Practice 1456767425 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
045295NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seco Occupational Therapy PC Past Accepting new patients
Core Performance Physical Therapy PLLC Physical Therapist Past
since Apr 3, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045295 NY Yes

Addresses

Primary practice location

42084 State Highway 28
Margaretville, NY 12455-2820

Mailing address

4 Pleasant St
Oxford, NY 13830-3417
Phone (607) 316-1440

Other practice location 1

42158 State Highway 28
Margaretville, NY 12455-2826
Phone (845) 586-1800

Other providers in Margaretville, NY

All providers in Margaretville, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.