Active NPI
Mark R Alford, P.T.
- Orthopedic Physical Therapist
- Georgetown, TX
National Provider Identifier
1598890360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1114239
- Practice address
- 1904 Railroad St
Georgetown, TX 78626-7718 - Phone
- (512) 863-4563
- Fax
- (512) 869-5899
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1114239 | TX | Primary |
Addresses
Primary practice location
1904 Railroad St
Georgetown, TX 78626-7718
Mailing address
1904 Railroad St
Georgetown, TX 78626-7718
Phone (512) 863-4563
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1838 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598890360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 RAILROAD ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267718",
"telephone_number": "512-863-4563",
"fax_number": "512-869-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 RAILROAD ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786267718",
"telephone_number": "512-863-4563",
"fax_number": "512-869-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFORD",
"first_name": "MARK",
"middle_name": "R",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1114239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.