Mark Nolan Augustine, PT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

PT0000005211 Issued in TN

Practice address

600 Gresham Dr
Norfolk, VA 23507-1904

Phone

(757) 388-3663

NPI assigned

Aug 16, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1467444547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 MONTAGUE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235182814",
            "telephone_number": "757-284-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "MARK",
        "middle_name": "NOLAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TN",
            "license": "PT0000005211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Internal Medicine
• Atlas Human Performance
• Attentive Personal Care
• Shelby Aughtman
• Latoya Augustine, FNP-C
• Paul Augustine, MD
• Brittany Joanne Aultz, CPHT
• Darli Min Aung, MSN, NP-C, CRRN
• Michael Anthony Aurigema
• Volodymyr Aurov, MD

• Neurology Physical Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Neurology Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.