Individual provider Active NPI

Mark Slobodinsky, PT, DPT

  • Physical Therapist
  • Levittown, PA
National Provider Identifier
1205235512
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023747 Issued in PA
Practice address
1411 Woodbourne Rd # a
Levittown, PA 19057-1540
Phone
(267) 630-5740
NPI assigned
Aug 22, 2014
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230614001270 PA Practitioner - Physical Therapist in Private Practice 8224496856 Reassigns benefits to 4 organizations

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
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

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

LicenseStateTypeSpecialty
PT023747PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince May 31, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Feb 5, 2024 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.

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.

Verify at the official NPI Registry.