Active NPI
Mark McDonald, DPT,OCS
- Physical Therapist
- Sterling, CO
National Provider Identifier
1417042482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2903
- Practice address
- 427 W Main St
Sterling, CO 80751-3033 - Phone
- (970) 522-7743
- Fax
- (970) 521-0640
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2903 | CO | Primary |
Addresses
Primary practice location
427 W Main St
Sterling, CO 80751-3033
Mailing address
427 W Main St
Sterling, CO 80751-3033
Phone (970) 522-7743
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6500005073 | Other | CO | RAILROAD MEDICARE NUMBER |
| MAP6403 | Other | CO | BLUE CROSS/BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2903 | CO | MD | Intellectual & Developmental Disabilities Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark McDonald P.T., P.C. | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McDonald Physical Therapy/Sterling Hand Clinic/Tina Harris Physical T
- Physical Therapist
- Sterling, CO
- NPI 1801981808
-
- Physical Therapist
- Pagosa Springs, CO
- NPI 1053441634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417042482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 W MAIN ST",
"city": "STERLING",
"state": "CO",
"postal_code": "807513033",
"telephone_number": "970-522-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 W MAIN ST",
"city": "STERLING",
"state": "CO",
"postal_code": "807513033",
"telephone_number": "970-522-7743",
"fax_number": "970-521-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DPT,OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "6500005073",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "MAP6403",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.