Mark Dirlam, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034320-1 Issued in NY

Practice address

2438 Elmwood Ave
Kenmore, NY 14217-2244

Phone

(716) 873-9154

NPI assigned

Feb 9, 2012

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ken-Ton Physical Therapy, PLLC

  • Physical Therapist
  • Kenmore, NY
  • NPI 1861562506
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1497028229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HENDRICKS BLVD",
            "city": "EGGERTSVILLE",
            "state": "NY",
            "postal_code": "142263301",
            "telephone_number": "716-343-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172244",
            "telephone_number": "716-873-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRLAM",
        "first_name": "MARK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034320-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Hannah Dill, PT, DPT
• Angelene Belle Dimaano
• Yvon Serge Dimiyo, MA,MHA,MAPS
• Kelly Dinatale
• Vickie L Dinse, RPH
• Angela Disorbo
• Diversified Services
• Diversified Services for Occupational Therapy Physical Ther
• Diversified Services for Occupational Therapy, Physical Ther
• Diversified Services for Occupational Therapy, Physical Therapy, Speec

• Physical Therapist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.