Active NPI
Mark A Mashburn, PT,OCS
- Physical Therapist
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1885
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1885 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy & Wellness Group, Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Dothan, AL
- NPI 1740355239
-
- Physical Therapy Clinic/Center
- Dothan, AL
- NPI 1588716765
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.