Individual provider Active NPI

Mark A Mashburn, PT,OCS

  • Physical Therapist
  • Dothan, AL
National Provider Identifier
1811062342
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1885 Issued in AL
Practice address
205 Graceland Dr Ste 8
Dothan, AL 36305-7348
Phone
(334) 699-2348
Fax
(334) 699-2727
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 PTH1885 AL Primary

Addresses

Primary practice location

205 Graceland Dr Ste 8
Dothan, AL 36305-7348

Mailing address

205 Graceland Dr Ste 8
Dothan, AL 36305-7348
Phone (334) 699-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000724 AL Practitioner - Physical Therapist in Private Practice 6406836741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 Graceland Dr
Suite 8
Dothan, AL 36305-7347

205 Graceland Dr
Suite 8
Dothan, AL 36305-7348
Phone (334) 699-2348

812 E Lee St
Enterprise, AL 36330-2477
Phone (334) 347-3507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH1885ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy & Wellness Group, Inc Physical Therapist CurrentSince Oct 9, 2003 Accepting new patients
Womens Therapy and Wellness Company Past Accepting new patients

Locations

3160 W Main St
Ste 1
Dothan, AL 36305
Phone (334) 699-2348

205 Graceland Dr
Ste 8
Dothan, AL 36305
Phone (334) 699-2348

805 E Lee St
Ste B
Enterprise, AL 36330
Phone (334) 347-3507

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1811062342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRACELAND DR STE 8",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057348",
            "telephone_number": "334-699-2348",
            "fax_number": "334-699-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRACELAND DR STE 8",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057348",
            "telephone_number": "334-699-2348",
            "fax_number": "334-699-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "PT,OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.