Mark Andrew Llewellyn, MPT
Individual provider Active NPI Physical Therapist · Wind Gap, PA
NPI 1467409482 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1467409482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015381 (PA)
- Practice address
- 495 Bushkill Plaza Lane
St Lukes Physical Therapy
Wind Gap, PA 18091-9665 - Phone
- (610) 863-0601
- Fax
- (610) 863-3258
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
785 State Route 17M
Monroe, NY 10950-2623
Phone (845) 507-0477
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150206001760 | NY | Practitioner - Physical Therapist in Private Practice | 8224224092 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037526 | NY | MD | Dentist |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Rehabilitation Associates of Central Virginia, Inc. | Physical Therapist | Past |
Accepting new patients |
| Lehigh Valley Bone Muscle and Joint | Physical Therapist | Past | Accepting new patients |
| Rehabilitation Associates of Central Virginia Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
785 State Route 17M
Monroe, NY 10950
Phone (845) 356-2900
30 Indian Rock
Ste 3
Suffern, NY 10901
Phone (845) 368-2108
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015381 | PA | Yes |
Addresses
Primary practice location
495 Bushkill Plaza Lane
St Lukes Physical Therapy
Wind Gap, PA 18091-9665
Mailing address
PO Box 20687
St Lukes Physical Therapy
Lehigh Valley, PA 18002-0687
Phone (484) 851-3386
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03003002 | Other | PA | CAPITAL |
| LL1322070 | Other | PA | HIGHMARK |
Other providers in Wind Gap, PA
- Kelly Victoria Krickus
- Colby Kulig
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Life Change Health P.C.
- Kristin Erika Lovgren
- LVHN Coordinated Professional Practice
- Mark W. Powell, M.D. and Sheila M. Borick, M.D.
- Jill Marshall
- Harry Maryanski
All providers in Wind Gap, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.