Individual provider Active NPI

Mark Ciolek, PT

  • Physical Therapist
  • Oxford, OH
National Provider Identifier
1336694884
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16320 Issued in OH
Practice address
421 S Campus Ave
Oxford, OH 45056-2487
Phone
(513) 529-3000
Fax
(513) 529-1892
NPI assigned
Aug 24, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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 16320 OH Primary

Addresses

Primary practice location

421 S Campus Ave
Oxford, OH 45056-2487

Mailing address

PO Box 636962
Cincinnati, OH 45263-6962
Phone (513) 569-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16320OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
D E Delopoulos Physical Therapist CurrentSince Jun 22, 2019 Accepting new patients

Locations

261 E 78th St
Fl 2
New York, NY 10075
Phone (212) 472-5820

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, 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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1336694884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636962",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636962",
            "telephone_number": "513-569-6117",
            "fax_number": "513-853-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S CAMPUS AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562487",
            "telephone_number": "513-529-3000",
            "fax_number": "513-529-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOLEK",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "16320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.