Mark J Babcock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011091 Issued in MI

Practice address

8680 Gratiot Rd Ste B
Saginaw, MI 48609-4885

Phone

(899) 401-4791

Fax

(899) 401-4794

NPI assigned

Jul 5, 2006

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

Other identifiers 1

Other names 1

• Mark J Babcock Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• On the Move Physical Therapy and Rehabilitation, LLC

  • Physical Therapist
  • Bay City, MI
  • NPI 1134882178

  MI

  Medicare reassignment
• Renue 012 Essexville, LLC

  • Physical Therapist
  • Bay City, MI
  • NPI 1548740871

  MI

  Medicare reassignment
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Bay City, MI
  • NPI 1154647659
  NPD (past)
• Mid-Michigan Physical Therapy and Rehab Specialists, LLC

  • Physical Therapist
  • Midland, MI
  • NPI 1205863743
  NPD (past)
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1497786990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 E WESTGATE DR BAY CITY",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062619",
            "telephone_number": "989-493-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 GRATIOT RD STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486094885",
            "telephone_number": "899-401-4791",
            "fax_number": "899-401-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4673812",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "BABCOCK",
            "middle_name": "J",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mohamed Ayman, MD
• Jennifer Lynn Azelton, N.P.
• B&M Enterprises LLC
• Catherine Marie Baase, MD
• Tara Baase
• Kija Nicole Baber
• Layla Arielle Baber
• Margaret Bach, LMSW
• Michael Thomas Bacigalupo, ABOC
• Back in Motion Rehabilitation-Saginaw, LLC

• All providers in Saginaw, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.