Active NPI
Mark Allan Oliver, DPT, ATC, CSCS
- Orthopedic Physical Therapist
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305202418
- Practice address
- 432 E Main St Ste a-1
Abingdon, VA 24210-3488 - Phone
- (276) 608-4468
- Fax
- (276) 240-1010
- NPI assigned
- Jul 5, 2007
- Last updated
- Jan 10, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 002567 | WV | |
| Orthopedic Physical Therapist | 2251X0800X | 2305202418 | VA | Primary |
| Athletic Trainer | 2255A2300X | 050102053 | VA |
Addresses
Primary practice location
432 E Main St Ste a-1
Abingdon, VA 24210-3488
Mailing address
432 E Main St Ste a-1
Abingdon, VA 24210-3488
Phone (276) 608-4468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156094000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
432 E Main St
Suite a 1
Abingdon, VA 24210-3488
Phone (276) 608-4468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002567 | WV | MD | Sports Physical Therapist |
| 2305202418 | VA | MD | Orthopedic Physical Therapist |
| 050102053 | VA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical & Occupational Therapy Services Inc. | Sports | Current | Accepting new patients |
Locations
432 E Main St
Ste A-1
Abingdon, VA 24210
Phone (276) 608-4468
111 Saunders Ln
#B
Bluefield, VA 24605
111B Saunders Ln
Bluefield, VA 24605
Phone (276) 326-3611
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pro 1 Therapy Services
- Orthopedic Physical Therapist
- Abingdon, VA
- NPI 1891806949
Sports
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1710185301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 E MAIN ST STE A-1",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242103488",
"telephone_number": "276-608-4468",
"fax_number": "276-240-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 E MAIN ST STE A-1",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242103488",
"telephone_number": "276-608-4468",
"fax_number": "276-240-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "MARK",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "DPT, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WV",
"license": "002567",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305202418",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "050102053",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156094000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.