Mark A Netzinger, RPT – Physical Therapist

Key facts

NPI: 1508972407
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 1981 (MN)
Practice address: 18415 NE Hwy 65
Cedar, MN 55011
Phone: (763) 413-0880
Fax: (763) 413-0850
NPI assigned: Aug 22, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Physical Therapy Consultants, Inc. Physical Therapy Clinic/Center · Ham Lake, MN · NPI 1366460719

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1981	MN	MD	Acupuncturist
3582024	WI	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Physical Therapy Consultants, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	1981	MN	Yes
Physical Therapist	225100000X	3582024	WI

Addresses

Primary practice location

18415 NE Hwy 65
Cedar, MN 55011

Mailing address

18415 NE Hwy 65
Cedar, MN 55011
Phone (763) 413-0880

Other identifiers

Identifier	Type	State	Issuer
04T14NE	Other	MN	BLUE CROSS
51118	Other		HEALTH PARTNERS
6409001	Other	MN	MEDICA

Other providers in Cedar, MN

All providers in Cedar, MN · Physical Therapist in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.