Individual provider Active NPI

Marki Tomiko Fong, PT, DPT

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1215711379
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020500 Issued in CO
Practice address
4714 Milestone LN Ste B
Castle Rock, CO 80104-7908
Phone
(303) 660-5349
Fax
(303) 660-5379
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 1382469 TX
Physical Therapist 225100000X 0020500 CO Primary

Addresses

Primary practice location

4714 Milestone LN Ste B
Castle Rock, CO 80104-7908

Mailing address

4714 Milestone LN Ste B
Castle Rock, CO 80104-7908
Phone (303) 660-5349

Other practice location 1

215 Kingwood Executive Dr Ste 130
Kingwood, TX 77339-2763
Phone (346) 522-2165

Other practice location 2

5514 Atascocita Rd Ste 160
Humble, TX 77346-3761
Phone (281) 441-5371

Other practice location 3

5514 Atascocita Rd Ste 160
Humble, TX 77346-3761
Phone (281) 441-5371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011001074 TX Practitioner - Physical Therapist in Private Practice 6305291378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 Kingwood Executive Dr
Suite 130
Kingwood, TX 77339-2763
Phone (281) 358-4145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020500COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership CurrentSince Sep 1, 2023 Accepting new patients
Theraworks Inc Physical Therapist Current Accepting new patients
Theraworks Inc Physical Therapist CurrentSince Sep 8, 2024 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Physiotherapy Associates Inc PastSince Apr 27, 2025 Accepting new patients
Theraworks Inc Past Accepting new patients

Locations

5514 Atascocita Rd
Humble, TX 77346
Phone (281) 441-5371

5514 Atascocita Rd
Ste 160
Humble, TX 77346
Phone (281) 441-5371

215 Kingwood Executive Dr
Ste 130
Kingwood, TX 77339
Phone (281) 358-4145

605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588

6807 Emmett F Lowry Expy
Ste 103
Texas City, TX 77591
Phone (409) 935-2840

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

Organizations & group practices 6

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1215711379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 MILESTONE LN STE B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047908",
            "telephone_number": "303-660-5349",
            "fax_number": "303-660-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 MILESTONE LN STE B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047908",
            "telephone_number": "303-660-5349",
            "fax_number": "303-660-5379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Kingwood Executive Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392763",
            "country_code": "US",
            "telephone_number": "346-522-2165",
            "fax_number": "346-522-2166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5514 Atascocita Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773463761",
            "country_code": "US",
            "telephone_number": "281-441-5371",
            "fax_number": "281-441-5373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5514 Atascocita Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773463761",
            "country_code": "US",
            "telephone_number": "281-441-5371",
            "fax_number": "281-441-5373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "MARKI",
        "middle_name": "TOMIKO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "1382469",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.