Active NPI
Mark Eric Robertson, PT
- Physical Therapist
- Red Lodge, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1696
- Practice address
- 600 W 21St Street
Red Lodge, MT 59068 - Phone
- (406) 446-1112
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 8, 2007
- 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 | 1696 | MT | Primary |
Addresses
Primary practice location
600 W 21St Street
Red Lodge, MT 59068
Mailing address
PO Box 590
Red Lodge, MT 59068-0590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10573 | Other | MT | HOSPITAL # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 N Broadway Ave
Red Lodge, MT 59068-9326
Phone (406) 446-3850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1494 | AK | MD | Pharmacist |
| 1696 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Montana | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| St. Vincent Healthcare | Past | Accepting new patients | |
| Juneau Bone & Joint Center, LLC. | Past | Accepting new patients | |
| Juneau Physical Therapy | Past | Accepting new patients | |
| Hands on Physical Therapy, PC | Past | Accepting new patients |
Locations
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
Organizations & group practices 7
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 Intermountain Health St Vincent Regional Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
dba St Vincent Regional Hospital - Ortho Trauma
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1659706232
-
dba SVPN Internal Medicine & Diabetes
- Primary Care Clinic/Center
- Billings, MT
- NPI 1043257983
-
- Orthopedic Physical Therapist
- Bend, OR
- NPI 1912129073
-
- Orthopaedic Surgery Physician
- Juneau, AK
- NPI 1699808139
-
- Physical Therapy Clinic/Center
- Juneau, AK
- NPI 1790894806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821129495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 590",
"city": "RED LODGE",
"state": "MT",
"postal_code": "590680590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 21ST STREET",
"city": "RED LODGE",
"state": "MT",
"postal_code": "59068",
"telephone_number": "406-446-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "MARK",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPITAL #",
"identifier": "10573",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Lodge, MT
- Red Lodge Public Schools
- Red Lodge Public Schools
- Red Lodge Rural Fire District 7
- Redbarn Counseling and Consultation
- Kelly A Reynolds, DDS
- SCL Health Medical Group - Billings LLC (Red Lodge Clinic - Family Medicine)
- Rebecca Anne Sharar
- Danielle Marie Sindelar, RD
- Walter James Smith, MA, LCPC, NCC
- St. Vincent Healthcare (Mountain View Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.