Active NPI
Ryan Gregory Mark, DPT
- Physical Therapist
- Plymouth Meeting, PA
National Provider Identifier
1477849891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021334
- Practice address
- 580 W Germantown Pike
Suite 106
Plymouth Meeting, PA 19462-1305 - Phone
- (610) 828-3110
- NPI assigned
- Jun 23, 2011
- 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 | PT021334 | PA | Primary |
Addresses
Primary practice location
580 W Germantown Pike
Suite 106
Plymouth Meeting, PA 19462-1305
Mailing address
4 Goodman Rd
Dallas, PA 18612-9141
Phone (570) 574-9786
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1477849891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GOODMAN RD",
"city": "DALLAS",
"state": "PA",
"postal_code": "186129141",
"telephone_number": "570-574-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W GERMANTOWN PIKE",
"address_2": "SUITE 106",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621305",
"telephone_number": "610-828-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "RYAN",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.