Mark Anthony Cacko, MPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010882 Issued in MI

Practice address

1845 Livernois
Troy, MI 48083

Phone

(248) 362-2150

Fax

(248) 362-1702

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Pine Medical Group PLCGroup PAC ID 8325020332, 39 clinicians

Orthopedic Edge LLCGroup PAC ID 1153494018, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopedic Edge LLC

  • Physical Therapy Clinic/Center
  • Shelby TWP, MI
  • NPI 1164682399
  Medicare reassignment Care Compare group NPD
• Silver Pine Medical Group PLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1639105695
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1700934221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60390 COTTAGE MILL DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943778",
            "telephone_number": "586-202-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 LIVERNOIS",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-362-2150",
            "fax_number": "248-362-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACKO",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Benedict Calado, DO
• Jamall Caldwell, COTA
• Mary Hannawa Calek, DDS
• Caliber Autism Care LLC
• California Guz Medic Anesthesia Services PC

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.