Mark H Killian, P.T., L.A.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4902-024 Issued in WI

Practice address

1970 Navajo St
Rhinelander, WI 54501-8890

Phone

(715) 420-1593

Fax

(715) 362-0512

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspirus Eagle River Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Medicare reassignment NPD
• The Howard Young Medical Center, Inc.

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1184673352
  Medicare reassignment NPD
• Aspirus Eagle River Hospital, Inc.

  • Emergency Medicine Physician
  • Eagle River, WI
  • NPI 1699728915
  NPD
• Excelrehab & Spine Center, Inc.

  • Physical Therapist
  • Rhinelander, WI
  • NPI 1043411358
  NPD (past)
• Excelrehab & Spine Center, Inc.

  • Rehabilitation Clinic/Center
  • Minocqua, WI
  • NPI 1649389479

  Physical Therapist

  NPD (past)
• Sport & Spine Clinic LP

  • Physical Therapist
  • Auburndale, WI
  • NPI 1043252695
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1831208693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 NAVAJO ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018890",
            "telephone_number": "715-420-1593",
            "fax_number": "715-362-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 NAVAJO ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018890",
            "telephone_number": "715-420-1593",
            "fax_number": "715-362-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "P.T., L.A.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4902-024",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "38-039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40286100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryanne T Kellner
• Kayleena Kelly, PSY.D.
• Rovena L Kessinger, MDQ
• Jean E Keuer, PT
• Angela J. Kielhold, L.P.N.
• John Kim, MD
• Betty Kizirian, LPN
• Alice F Kleinhans, PA-C
• Brittany L Knetter, PT, DPT
• Angela Marie Higgins Koch, MS CCC SLP

• Physical Therapist in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.