Active NPI
Mark F Elkin, P.T.
- Sports Physical Therapist
- Sharonville, OH
National Provider Identifier
1619152840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT001759
- Practice address
- 11880 Mosteller Rd
Sharonville, OH 45241-1551 - Phone
- (513) 771-4740
- NPI assigned
- Jan 7, 2008
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT001759 | KY | Primary |
Addresses
Primary practice location
11880 Mosteller Rd
Sharonville, OH 45241-1551
Mailing address
1300 Kennecott Way
Lexington, KY 40514-1174
Phone (859) 361-3727
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT001759 | KY | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1619152840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 KENNECOTT WAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405141174",
"telephone_number": "859-361-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11880 MOSTELLER RD",
"city": "SHARONVILLE",
"state": "OH",
"postal_code": "452411551",
"telephone_number": "513-771-4740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKIN",
"first_name": "MARK",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "KY",
"license": "PT001759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharonville, OH
- Denise Marie Dufresne, BCBA
- Eh Health Home Health of Ohio, LLC
- Eh Health Home Health of Ohio, LLC
- Eh Health Home Health of Ohio, LLC
- Caitlin Jo Eisenhut, SLP
- EMS North Hamilton County Mercy Regional Paramedic Service
- Joseph Dorian Evans
- Alazya Necole Farmer, RBT
- Elisabeth Erin Furlong, RBT
- Rubina Shafique Ghasletwala, MSN, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.