Mark Kofman Enterprises LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MARK KOFMAN ENTERPRISES LTD

Practice address

122 Kingston Rd
Cheltenham, PA 19012-1227

Phone

(267) 250-7694

Fax

(215) 782-3852

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Mark Kofman, MSPTNPI 1669642328

Title

President

Phone

(267) 250-7694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Kofman, MSPT

  • Geriatric Physical Therapist
  • Cheltenham, PA
  • NPI 1669642328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1831354505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 KINGSTON RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121227",
            "telephone_number": "267-250-7694",
            "fax_number": "215-782-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 KINGSTON RD",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190121227",
            "telephone_number": "267-250-7694",
            "fax_number": "215-782-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK KOFMAN ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "KOFMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-250-7694",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli R Lipsky, MFT
• Martha C Little, M.D.
• Livingwage Homecare
• Jana Barbara Mallis, LBS
• Mark a Shust OD
• Sutona Matthews
• Anne Mbette, M. PSY., NCP, LPC
• Elizabeth McElroy, MSW, LCSW
• Gregory William McFarland, LPC
• Linda A McGrane, MS, OTR/L

• Physical Therapy Clinic/Center in Cheltenham, PA
• Providers in Cheltenham, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.