Active NPI
Mark Marchino
- Physical Therapist
- Princeton, IN
National Provider Identifier
1689696312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002067A
- Practice address
- 1808 Sherman Dr
Princeton, IN 47670-1043 - Phone
- (812) 385-9246
- Fax
- (812) 385-9307
- NPI assigned
- Jul 24, 2006
- 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 | 05002067A | IN | Primary |
Addresses
Primary practice location
1808 Sherman Dr
Princeton, IN 47670-1043
Mailing address
1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-9246
Other practice location 1
5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 437-1420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1689696312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 SHERMAN DR",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701043",
"telephone_number": "812-385-9246",
"fax_number": "812-385-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 SHERMAN DR",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701043",
"telephone_number": "812-385-9246",
"fax_number": "812-385-9307"
}
],
"practiceLocations": [
{
"address_1": "5828 Pearl Dr",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477128116",
"country_code": "US",
"telephone_number": "812-437-1420",
"fax_number": "812-437-1425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCHINO",
"first_name": "MARK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002067A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.