Mark Kofman, MSPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Practice address

122 Kingston Rd
Cheltenham, PA 19012-1227

Phone

(267) 250-7694

Fax

(215) 782-3852

NPI assigned

Mar 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mark Kofman Enterprises LTD

  • Physical Therapy Clinic/Center
  • Cheltenham, PA
  • NPI 1831354505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204934400000",
    "number": "1669642328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 KINGSTON RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121227",
            "telephone_number": "267-250-7694",
            "fax_number": "215-782-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 KINGSTON RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121227",
            "telephone_number": "267-250-7694",
            "fax_number": "215-782-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFMAN",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maiysha Johnson
• Betsy Sunday Kamara
• Justin Lewis Kaplan, MD
• Jung Kim, RD LDN CNSD
• Kindred Home Care LLC
• Barbara Kotzin, M.A., M.ED.
• Kimberly Kreider
• Danielle Krevitz
• Jennifer Mitchell Kunkel, PHARMD, BCPS, BCCCP
• Eli R Lipsky, MFT

• Geriatric Physical Therapist in Cheltenham, PA
• Providers in Cheltenham, PA by specialty
• Geriatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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.