Individual provider Active NPI

Mark R Mortland, PT/ATC

  • Physical Medicine & Rehabilitation Physician
  • MC Murray, PA
National Provider Identifier
1205886017
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT006410L Issued in PA
Practice address
451 Valley Brook Rd
MC Murray, PA 15317-3353
Phone
(724) 942-8990
Fax
(724) 942-4461
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT006410L PA Primary

Addresses

Primary practice location

451 Valley Brook Rd
MC Murray, PA 15317-3353

Mailing address

154 Springdale Rd
Venetia, PA 15367-2361
Phone (724) 942-8990

Other names 1

  • Mark R Mortland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001222 PA Practitioner - Physical Therapist in Private Practice 7214925684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

451 Valley Brook Rd
MC Murray, PA 15317-3375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006410LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mortland Physical Therapy & Sports Medicine CurrentSince Aug 1, 2002 Accepting new patients

Locations

3055 Washington Rd
Ste 303
McMurray, PA 15317
Phone (724) 942-5630

451 Valley Brook Rd
McMurray, PA 15317
Phone (724) 942-5410

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205886017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SPRINGDALE RD",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "153672361",
            "telephone_number": "724-942-8990",
            "fax_number": "724-942-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 VALLEY BROOK RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173353",
            "telephone_number": "724-942-8990",
            "fax_number": "724-942-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTLAND",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "PT/ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT006410L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "MORTLAND",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.