Active NPI
Mark Denesha Physical Therapy LLC
- Physical Therapist
- Austin, TX
National Provider Identifier
1609500099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MARK DENESHA PHYSICAL THERAPY LLC
- Practice address
- 3201 Duval Rd Apt 1326
Austin, TX 78759-5424 - Phone
- (929) 303-1178
- NPI assigned
- Jul 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Denesha, PT
- Title
- Owner
- Phone
- (929) 303-1178
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3201 Duval Rd Apt 1326
Austin, TX 78759-5424
Mailing address
3201 Duval Rd Apt 1326
Austin, TX 78759-5424
Phone (929) 303-1178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1609500099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 DUVAL RD APT 1326",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595424",
"telephone_number": "929-303-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 DUVAL RD APT 1326",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595424",
"telephone_number": "929-303-1178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK DENESHA PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "DENESHA",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "929-303-1178",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.