Individual provider Active NPI

Mark Thomas Walsh, PT, DPT, MS

  • Physical Therapist
  • Somers Point, NJ
National Provider Identifier
1508866906
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00473900 Issued in NJ
Practice address
24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone
(609) 927-5463
Fax
(609) 927-3724
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 40QA00473900 NJ
Physical Therapist 225100000X 40QA00473900 NJ Primary
Physical Therapist 225100000X PT000539E PA

Addresses

Primary practice location

24 Macarthur Blvd
Somers Point, NJ 08244-1776

Mailing address

24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-5463

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Rehabclinics SPT Inc CurrentSince Jul 20, 2019 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jul 20, 2019 Accepting new patients

Locations

18 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 404-3353

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

733 Route 72 W
Unit 15E
Stafford Township, NJ 08050
Phone (267) 261-3730

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1508866906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-5463",
            "fax_number": "609-927-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-5463",
            "fax_number": "609-927-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NJ",
            "license": "40QA00473900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00473900",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT000539E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.