Active NPI
Sheila R Mark, P.T.
- Physical Therapist
- Athens, OH
National Provider Identifier
1194895128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1197
- Practice address
- 603 W Union St
Athens, OH 45701-2334 - Phone
- (740) 593-8787
- Fax
- (740) 592-5989
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1197 | OH | Primary |
Addresses
Primary practice location
603 W Union St
Athens, OH 45701-2334
Mailing address
603 W Union St
Athens, OH 45701-2334
Phone (740) 593-8787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1197 | Other | OH | PHYSICAL THERAPY LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1194895128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 W UNION ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012334",
"telephone_number": "740-593-8787",
"fax_number": "740-592-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W UNION ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012334",
"telephone_number": "740-593-8787",
"fax_number": "740-592-5989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "SHEILA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "1197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE NUMBER",
"identifier": "1197",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.