Mark Allen Wilkinson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

344 Issued in OK

Practice address

4621 US Highway 59
Grove Ok 74344
Grove, OK 74344-4237

Phone

(918) 786-3797

Fax

(918) 786-7395

NPI assigned

Jul 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mark Allen Wilkinson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integris Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1386028611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 US HIGHWAY 59",
            "address_2": "GROVE OK 74344",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743444237",
            "telephone_number": "918-786-3797",
            "fax_number": "918-786-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 US HIGHWAY 59",
            "address_2": "GROVE OK 74344",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743444237",
            "telephone_number": "918-786-3797",
            "fax_number": "918-786-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "WILKINSON",
            "middle_name": "ALLEN",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Denise Ann Whipkey
• Keli Elaine Whitlock
• Joanna Frances Whitmire
• Haley Jo Wigelsworth, APRN
• James Wikel
• Candace Rene' Williams, REGISTERED NURSE
• Michael Andrew Williams, DPT
• Phillip Scott Williams, DO
• Staci Michelle Williams
• Amanda Kay Wills

• Physical Therapy Assistant in Grove, OK
• Providers in Grove, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.