Individual provider Active NPI

Mark David Schorn, P.T.

  • Physical Therapist
  • Bainbridge Island, WA
National Provider Identifier
1609928944
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00002906 Issued in WA
Practice address
9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone
(206) 842-2428
Fax
(206) 842-2890
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00002906 WA Primary

Addresses

Primary practice location

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647

Mailing address

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone (206) 842-2428

Other identifiers 2

IdentifierTypeStateIssuer
0200505OtherWAWA. LABOR AND INDUSTRY
8346496MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000044 WA Practitioner - Physical Therapist in Private Practice 0749369890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fiziologix Physical Therapy PLLCGroup PAC ID 4789072299, 3 clinicians

Practice addresses (Care Compare)

7865 NE Day Rd W
Suite 202
Bainbridge Island, WA 98110-6212
Phone (360) 860-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00002906WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Motion Physical Therapy, Inc., PS Physical Therapist CurrentSince Dec 31, 2007 Accepting new patients
Fiziologix Physical Therapy PLLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Zinn Ventures, Inc. Physical Therapist Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

7865 NE Day Rd W
Ste 202
Bainbridge Island, WA 98110
Phone (360) 860-3100

9419 Coppertop Loop NE
Bainbridge Island, WA 98110
Phone (206) 842-2428

Organizations & group practices 4

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1609928944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORN",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00002906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA. LABOR AND INDUSTRY",
            "identifier": "0200505",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8346496",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.