Individual provider Active NPI

Mark A Torok, MS, PT, MBA

  • Physical Therapist
  • Wakefield, RI
National Provider Identifier
1467555912
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01978 Issued in RI
Practice address
46 Holley St
Ste 3
Wakefield, RI 02879-3326
Phone
(401) 714-4627
Fax
(401) 714-4627
NPI assigned
Sep 7, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 PT01978 RI Primary

Addresses

Primary practice location

46 Holley St
Ste 3
Wakefield, RI 02879-3326

Mailing address

44 Sandy Bottom Shores Dr
Wakefield, RI 02879-2333
Phone (401) 714-4627

Other identifiers 6

IdentifierTypeStateIssuer
5651536OtherRIFIRST HEALTH
29992-5OtherRIBLUE CROSS OF RI
413036OtherRIBLUE CHIP
088680109OtherRITRICARE(CHAMPUS)
7317768OtherRIAETNA
9405168OtherRIPHCS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000922 RI Practitioner - Physical Therapist in Private Practice 0042230971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Physical Therapy, LLCGroup PAC ID 0345517165, 2 clinicians

Practice addresses (Care Compare)

46 Holley St
Suite 3
Wakefield, RI 02879-3325
Phone (401) 284-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
PT01978RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Anchor Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

721 Reservoir Ave
Cranston, RI 02910
Phone (401) 946-4250

2725 S County Trl
East Greenwich, RI 02818
Phone (401) 398-2525

46 Holley St
Ste 3
Wakefield, RI 02879
Phone (401) 284-0770

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1467555912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SANDY BOTTOM SHORES DR",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792333",
            "telephone_number": "401-714-4627",
            "fax_number": "401-714-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HOLLEY ST",
            "address_2": "STE 3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793326",
            "telephone_number": "401-714-4627",
            "fax_number": "401-714-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOROK",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS, PT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5651536",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI",
            "identifier": "29992-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "413036",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE(CHAMPUS)",
            "identifier": "088680109",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7317768",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9405168",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.