Mark Budlong, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10126 Issued in MN

Practice address

2090 Woodwinds Dr Ste 200
Woodbury, MN 55125

Phone

(651) 968-5600

NPI assigned

Sep 24, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peak Rehabilitation of Denver LLC

  • Rehabilitation Clinic/Center
  • Westminster, CO
  • NPI 1043859747

  Physical Therapist

  NPD (past)
• Peak Rehabilitation of Denver LLC

  • Physical Therapist
  • Parker, CO
  • NPI 1386688166
  NPD (past)
• Peak Rehabilitation of Denver LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1770300519
  NPD (past)

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1740659341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 WOODWINDS DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252522",
            "telephone_number": "651-968-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 WOODWINDS DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-968-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11855 Ulysses St NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554343947",
            "country_code": "US",
            "telephone_number": "763-767-3140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11855 Ulysses St NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554343947",
            "country_code": "US",
            "telephone_number": "763-767-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDLONG",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tacara Bryant
• Melissa Marie Buchert
• Kaitlin Buckner, P.A.
• Rodelio M Bucu, MD
• Gerald J Buda, CRNA
• Angela Marie Buell, LICSW
• Susan Marie Buelow, RN CNS
• Susan D. Bugel, LICSW
• Hannah Mae Bunney
• Alexander Burback

• Physical Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.