Individual provider Active NPI

Mark E Howard, P.T.,D.P.T.,O.C.S.

  • Physical Therapist
  • Depew, NY
National Provider Identifier
1386647741
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009241 Issued in NY
Practice address
4721 Transit Rd
Ste B
Depew, NY 14043-4898
Phone
(716) 675-4444
Fax
(716) 675-4446
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 009241 NY Primary

Addresses

Primary practice location

4721 Transit Rd
Ste B
Depew, NY 14043-4898

Mailing address

4721 Transit Rd
Ste B
Depew, NY 14043-4898
Phone (716) 675-4444

Other identifiers 5

IdentifierTypeStateIssuer
650018170OtherNYRAILROAD MEDICARE
809602OtherNYACN
00011174401OtherNYUNIVERA
000610297001OtherNYBLUE CROSS
9308094OtherNYINDEPENDENT HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000640 NY Practitioner - Physical Therapist in Private Practice 8628255049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

285 Delaware Ave
Suite 116
Buffalo, NY 14202-1885
Phone (716) 831-8214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Physical Therapy, PLLC Physical Therapist CurrentSince Jul 26, 2012 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

4721 Transit Rd
Ste B
Depew, NY 14043
Phone (716) 257-1254

4721 Transit Rd
Depew, NY 14043
Phone (716) 656-1880

4845 Transit Rd
Ste C1
Depew, NY 14043
Phone (716) 656-1880

Organizations & group practices 2

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1386647741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 TRANSIT RD",
            "address_2": "STE B",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434898",
            "telephone_number": "716-675-4444",
            "fax_number": "716-675-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 TRANSIT RD",
            "address_2": "STE B",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434898",
            "telephone_number": "716-675-4444",
            "fax_number": "716-675-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "P.T.,D.P.T.,O.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650018170",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "809602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011174401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000610297001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9308094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.