Mark Mahan
Individual provider Active NPI Physical Therapist · Clarksville, TN
NPI 1629901079 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1629901079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1430 Corporate Parkway Blvd
Clarksville, TN 37040-6196 - Phone
- (931) 245-0679
- Fax
- (931) 245-0682
- NPI assigned
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1430 Corporate Parkway Blvd
Clarksville, TN 37040-6196
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q029723 | Medicaid | TN |
Other providers in Clarksville, TN
- Karrysa Madison
- Ruth Ann Maduka
- Nicole Leigh Magee
- Magnolia ABA Institute, Inc
- Magpie Emergency Physicians PLLC
- Kanwal Maheshwari
- Arif Mahood
- Chelsea Mains
- Keri Maizan
- Paul A Maizan
All providers in Clarksville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.