Active NPI
Mark David Schorn, P.T.
- Physical Therapist
- Bainbridge Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00002906
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0200505 | Other | WA | WA. LABOR AND INDUSTRY |
| 8346496 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00002906 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Motion Physical Therapy, Inc., PS | Physical Therapist | Current | Accepting new patients |
| Fiziologix Physical Therapy PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Bainbridge Island, WA
- NPI 1578237517
-
- Physical Therapist
- Bainbridge Island, WA
- NPI 1578518668
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Physical Therapist
- Poulsbo, WA
- NPI 1922178961
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.