Individual provider Active NPI

Mark Stawecki, DPT

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1306214291
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019032 Issued in CO
Practice address
9330 S University Blvd Ste 140
Highlands Ranch, CO 80126-5049
Phone
(303) 471-4506
NPI assigned
Sep 9, 2015
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024675 PA
Physical Therapist 225100000X PT61171761 WA
Physical Therapist 225100000X PTL.0019032 CO Primary

Addresses

Primary practice location

9330 S University Blvd Ste 140
Highlands Ranch, CO 80126-5049

Mailing address

9330 S University Blvd Ste 140
Highlands Ranch, CO 80126-5049
Phone (724) 504-6536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211119000872 WA Practitioner - Physical Therapist in Private Practice 2062712342 Reassigns benefits to 2 organizations
I20220215000283 SC Practitioner - Physical Therapist in Private Practice 2062712342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Physical Therapy GroupGroup PAC ID 8820172984, 46 clinicians

Practice addresses (Care Compare)

451 SW Sedgwick Rd
Suite 310
Port Orchard, WA 98367-6447
Phone (360) 845-1801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11064SCMDGeneral Practice Dentistry
PTL.0019032COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stawecki Physical Therapy LLC Physical Therapist Current Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Aug 18, 2021 Accepting new patients
Multicare Health System CurrentSince Aug 18, 2021 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Feb 14, 2022 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
The Physical Therapy Institute PastSince Aug 31, 2015 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc PastSince Jan 5, 2025 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc PastSince Jan 5, 2025 Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

4237 River Hills Dr
Ste 120
Little River, SC 29566
Phone (843) 249-5616

1347 Auburn Way N
Auburn, WA 98002
Phone (253) 553-2415

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

451 SW Sedgwick Rd
Ste 310
Port Orchard, WA 98367
Phone (360) 874-8009

1215 N McDonald Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 319-2029

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1306214291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 S UNIVERSITY BLVD STE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265049",
            "telephone_number": "724-504-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 S UNIVERSITY BLVD STE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265049",
            "telephone_number": "303-471-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAWECKI",
        "first_name": "MARK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024675",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61171761",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.