Active NPI
Mark Slobodinsky, PT, DPT
- Physical Therapist
- Levittown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT023747
- Practice address
- 1411 Woodbourne Rd # a
Levittown, PA 19057-1540 - Phone
- (267) 630-5740
- NPI assigned
- Aug 22, 2014
- Last updated
- Feb 12, 2024
- Sex
- Male
- 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 | PT023747 | PA | Primary |
Addresses
Primary practice location
1411 Woodbourne Rd # a
Levittown, PA 19057-1540
Mailing address
PO Box 411195
Boston, MA 02241-1195
Phone (914) 294-4050
Other practice location 1
511 N Broad St
Philadelphia, PA 19123-3230
Phone (215) 923-6031
Other practice location 2
182 N Pine St # A
Langhorne, PA 19047-2141
Phone (267) 789-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Pheasant Run
Newtown, PA 18940-1821
Phone (215) 944-6031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023747 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Pennsylvania Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282
300 Welsh Rd
Bldg 1
Horsham, PA 19044
182 N Pine St
Langhorne, PA 19047
Phone (267) 789-2900
182 N Pine St
#A
Langhorne, PA 19047
Phone (267) 789-2900
1411 Woodbourne Rd
Ste B
Levittown, PA 19057
Phone (267) 630-5740
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
120 Pheasant Run
Newtown, PA 18940
Phone (215) 944-6031
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
-
dba Excel Physical Therapy
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
- Physical Therapist
- Horsham, PA
- NPI 1528689445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1205235512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411195",
"city": "BOSTON",
"state": "MA",
"postal_code": "022411195",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 WOODBOURNE RD # A",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190571540",
"telephone_number": "267-630-5740"
}
],
"practiceLocations": [
{
"address_1": "511 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191233230",
"country_code": "US",
"telephone_number": "215-923-6031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "182 N Pine St # A",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190472141",
"country_code": "US",
"telephone_number": "267-789-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLOBODINSKY",
"first_name": "MARK",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-22",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.