Mark Thomas, PT, DPT, CPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28609 Issued in FL

Practice address

1420 Oak St
Melbourne, FL 32901-3113

Phone

(321) 271-6735

NPI assigned

Apr 22, 2016

Last updated

Apr 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1255785507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 DELAWARE ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013113",
            "telephone_number": "321-271-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28609",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Thomas
• Ashlee Paige Thomas, ARNP
• Audrey Thomas
• John Cameron Thomas, D.C.
• Laura Mae Thomas, LICSW
• Meredith Leigh Thomas, PA-C
• Michael J Thomas, PA
• Roger P. Thomas, MD
• Ryan Michelle Thomas
• Sabrina Thomas

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.