Active NPI
Mark Anthony Haith, DPT
- Physical Therapist
- Midlothian, VA
National Provider Identifier
1558675405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206587
- Practice address
- 5001 W Village Green Dr
Suite 203
Midlothian, VA 23112-4801 - Phone
- (804) 249-8277
- Fax
- (804) 249-9690
- NPI assigned
- Aug 3, 2010
- 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 | 2305206587 | VA | Primary |
Addresses
Primary practice location
5001 W Village Green Dr
Suite 203
Midlothian, VA 23112-4801
Mailing address
5111 Caledonia Rd
Richmond, VA 23225-3005
Phone (804) 291-8679
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305206587 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1558675405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 CALEDONIA RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232253005",
"telephone_number": "804-291-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 W VILLAGE GREEN DR",
"address_2": "SUITE 203",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124801",
"telephone_number": "804-249-8277",
"fax_number": "804-249-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAITH",
"first_name": "MARK",
"middle_name": "ANTHONY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-03",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.