Organization Active NPI

Marko Physical Therapy PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1619340023
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MARKO PHYSICAL THERAPY PLLC
Practice address
117 W 72ND St FL 4
New York, NY 10023-3204
Phone
(347) 766-5979
Fax
(805) 880-8612
NPI assigned
Nov 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Theresa Marko, PT, DPT, EDD, MSNPI 1588638753
Title
Ceo & Owner
Phone
(347) 766-5979

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

117 W 72ND St FL 4
New York, NY 10023-3204

Mailing address

3336 Fulton St # 188
Brooklyn, NY 11208-2004
Phone (347) 766-5979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310002051 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981900370 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1619340023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 FULTON ST # 188",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082004",
            "telephone_number": "347-766-5979",
            "fax_number": "805-880-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 72ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233204",
            "telephone_number": "347-766-5979",
            "fax_number": "805-880-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKO PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "MARKO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO & OWNER",
        "authorized_official_telephone_number": "347-766-5979",
        "authorized_official_credential": "PT, DPT, EDD, MS"
    },
    "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.

Verify at the official NPI Registry.