Active NPI
Mark Franklin Staples, PT
- Physical Therapist
- Alexander City, AL
National Provider Identifier
1669479754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH 1013
- Practice address
- 1120 Airport Dr
Ste 103
Alexander City, AL 35010-3444 - Phone
- (256) 329-8180
- Fax
- (256) 329-8116
- NPI assigned
- Jul 5, 2005
- 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 | PTH 1013 | AL | Primary |
Addresses
Primary practice location
1120 Airport Dr
Ste 103
Alexander City, AL 35010-3444
Mailing address
1594 Beri Barfield Dr
Dadeville, AL 36853-4808
Phone (256) 285-7456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-77002 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Airport Dr
Suite 103
Alexander City, AL 35010-3444
Phone (256) 392-4896
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH 1013 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Rehab Solutions Partners LLC | Physical Therapist | Current | Accepting new patients |
| Dadeville Sports Medicine & Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
1120 Airport Dr
Ste 103
Alexander City, AL 35010
Phone (256) 329-8180
309 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-2303
Organizations & group practices 2
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
- Alexander City, AL
- NPI 1770121741
-
- Physical Therapy Clinic/Center
- Alexander City, AL
- NPI 1699895490
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1669479754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 BERI BARFIELD DR",
"city": "DADEVILLE",
"state": "AL",
"postal_code": "368534808",
"telephone_number": "256-285-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 AIRPORT DR",
"address_2": "STE 103",
"city": "ALEXANDER CITY",
"state": "AL",
"postal_code": "350103444",
"telephone_number": "256-329-8180",
"fax_number": "256-329-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "MARK",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 1013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "510-77002",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexander City, AL
- Joshua Marshall Smith, CRNP
- Southern Anesthesia Specialists, P.C.
- Southern Head & Neck Surgery
- Katie K Spain-Mansmann, DO
- Richard Charles Speake, RPH
- State of Alabama Department of Public Health
- Douglas D Stewart, DPM
- Susan Skylarrroseheart Stoker, B.S. OTR/L
- Stonecreek Dental of Alabama,LLC
- Paris Strother
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.