Mark Powicki, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11449 Issued in MA

Practice address

63 S Main St
Randolph, MA 02368-4862

Phone

(781) 961-4460

NPI assigned

Oct 24, 2005

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 MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BD Physical Therapy IncGroup PAC ID 3779701230, 2 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 and National Provider Directory roles.

• BD Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Randolph, MA
  • NPI 1053743211

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Body Works Physical Therapy

  • Physical Therapist
  • Lowell, MA
  • NPI 1437278744
  NPD (past)
• Bodyworks Physical Therapy Management, Inc

  • Physical Therapist
  • Lowell, MA
  • NPI 1396722690
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1174513980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684862",
            "telephone_number": "781-961-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684862",
            "telephone_number": "781-961-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWICKI",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110020320A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Posner, LCSW
• Posture Chiropractic&Health Alliance LLC
• Sharde Potter
• Mara E Power
• Catherine Ann Powers Ozyurt, EDD LSW
• Roseangelle Poyau
• Precious Grace Health Services LLC
• Preferred Medical Partners, Inc
• Falerne Prinston
• Priority 1 Physical Therapy LLC

• Physical Therapist in Randolph, MA
• Providers in Randolph, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.