Individual provider Active NPI

Alexander Mark, PT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1689153330
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003950 Issued in DE
Practice address
1123 Churchmans Rd
Newark, DE 19713-2112
Phone
(302) 294-5500
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0003950 DE Primary

Addresses

Primary practice location

1123 Churchmans Rd
Newark, DE 19713-2112

Mailing address

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422

Other practice location 1

3105 Limestone Rd Ste 100
Wilmington, DE 19808-2147
Phone (302) 239-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180911000336 DE Practitioner - Physical Therapist in Private Practice 2567712680 Reassigns benefits to 1 organization
I20200817001480 DC Practitioner - Physical Therapist in Private Practice 2567712680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare and Rehab Management, LLCGroup PAC ID 3173665536, 4 clinicians

Practice addresses (Care Compare)

3105 Limestone Rd
Suite 100
Wilmington, DE 19808-2147
Phone (302) 239-2800

Merit-based Incentive Payment System (MIPS)

Final score
84.98 of 100Reported as group
Quality
80.05
Improvement activities
40
Cost
76.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Jul 27, 2020 Accepting new patients
Orthovirginia Inc. Current Accepting new patients

Locations

6354 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 810-5210

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1689153330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CHURCHMANS RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132112",
            "telephone_number": "302-294-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Limestone Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082147",
            "country_code": "US",
            "telephone_number": "302-239-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARK",
        "first_name": "ALEXANDER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.

Verify at the official NPI Registry.