Mark Patton, PTA
Individual provider Active NPI Physical Therapy Assistant · Dover, AR
NPI 1639729007 · NPPES record last updated Sep 17, 2019
Key facts
- NPI
- 1639729007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 4425 (AR)
- Practice address
- 8952 Market St # 7B
Dover, AR 72837-9110 - Phone
- (479) 331-3303
- NPI assigned
- Sep 17, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4425 | AR | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4425 | AR | Yes |
Addresses
Primary practice location
8952 Market St # 7B
Dover, AR 72837-9110
Mailing address
8952 Market St # 7B
Dover, AR 72837-9110
Other providers in Dover, AR
- Hannah Jones
- Brittany Michelle Martin
- Katie Nelson
- Silvia Ning
- Robert S Parkes
- Jacqueline Pollitzer
- Jordan Michael Pridgin
- Jessica Rackley
- Rose Drug of Dover Inc
- Rose Drug of Dover Inc
All providers in Dover, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2019. 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.