Individual provider Active NPI

Mark Halley, PT

  • Physical Therapist
  • Rosedale, MD
National Provider Identifier
1710040050
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21858 Issued in MD
Practice address
8652 Pulaski Hwy
Suite C-1
Rosedale, MD 21237-3008
Phone
(410) 391-9580
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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 21858 MD Primary

Addresses

Primary practice location

8652 Pulaski Hwy
Suite C-1
Rosedale, MD 21237-3008

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111004000514 MD Practitioner - Physical Therapist in Private Practice 2365614906 Reassigns benefits to 2 organizations
I20200413002084 DC Practitioner - Physical Therapist in Private Practice 2365614906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1401 Merritt Blvd
Suite D
Dundalk, MD 21222-2140
Phone (443) 530-9750

1510 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2851
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Phone (410) 658-0100

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21858MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 25, 2011 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 25, 2011 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2400 Boston St
Ste 114
Baltimore, MD 21224
Phone (410) 826-6585

6500 Eastern Ave
Ste E
Baltimore, MD 21224
Phone (410) 633-3670

711 W 40th St
Ste 170
Baltimore, MD 21211
Phone (667) 600-4560

7624 Belair Rd
Baltimore, MD 21236
Phone (667) 219-2169

7982 Honeygo Blvd
Ste A
Baltimore, MD 21236

836 N Rolling Rd
Catonsville, MD 21228
Phone (443) 514-0560

11301 York Rd
Cockeysville, MD 21030
Phone (443) 541-1912

1401 Merritt Blvd
Ste D
Dundalk, MD 21222
Phone (443) 530-9750

117 Orville Rd
Essex, MD 21221
Phone (410) 668-2270

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

8652 Pulaski Hwy
Ste C1
Rosedale, MD 21237
Phone (410) 391-9580

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

7 W Ridgely Rd
Ste A
Timonium, MD 21093
Phone (443) 274-5368

1264 E Joppa Rd
Ste 200
Towson, MD 21286
Phone (443) 921-3198

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1710040050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8652 PULASKI HWY",
            "address_2": "SUITE C-1",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373008",
            "telephone_number": "410-391-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEY",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.