Mark McDonald P.T., P.C.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MARK MCDONALD P.T., P.C.

Doing business as

Mark McDonald Physical Therapy

Practice address

102 W Larimer Street
Fleming, CO 80725

Phone

(970) 265-4878

NPI assigned

May 2, 2012

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MARK MCDONALD P.T., P.C.As reported in NPPES

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

Authorized official

Name

Mrs. Kathy E Green

Title

Administrative Assistant

Phone

(970) 522-7743

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mark McDonald Physical Therapy Doing business as

Part of

Mark McDonald PT

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1447518063",
    "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": "102 W LARIMER STREET",
            "city": "FLEMING",
            "state": "CO",
            "postal_code": "80725",
            "telephone_number": "970-265-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MCDONALD P.T., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK MCDONALD P.T., P.C.",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "970-522-7743",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P6403",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark McDonald Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Occupational Therapist in Fleming, CO
• Providers in Fleming, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.