Active NPI
Mark D Bishop, P.T.
- Orthopedic Physical Therapist
- Gainesville, FL
National Provider Identifier
1700212883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9943
- Practice address
- 5715 NW 4TH PL
Gainesville, FL 32607-2120 - Phone
- (352) 262-2211
- NPI assigned
- Sep 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9943 | FL | Primary |
Addresses
Primary practice location
5715 NW 4TH PL
Gainesville, FL 32607-2120
Mailing address
5715 NW 4TH PL
Gainesville, FL 32607-2120
Phone (352) 262-2211
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9943 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1700212883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 NW 4TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072120",
"telephone_number": "352-262-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 NW 4TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072120",
"telephone_number": "352-262-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "9943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.