NPIMap

Organization Active NPI

On Your Mark Pediatric Physical Therapy LLC

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1831905934
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ON YOUR MARK PEDIATRIC PHYSICAL THERAPY LLC
Practice address
1016 Burke St
Winston Salem, NC 27101-2413
Phone
(336) 978-1145
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Elizabeth Mark, DPTNPI 1568912954
Title
Owner
Phone
(336) 978-1145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1016 Burke St
Winston Salem, NC 27101-2413

Mailing address

230 Ashbourne Lake CT
Clemmons, NC 27012-7905
Phone (336) 978-1145

National Provider Directory

National Provider Directory

Locations

1016 Burke St
Winston Salem, NC 27101
Phone (336) 281-2161

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1831905934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 ASHBOURNE LAKE CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127905",
            "telephone_number": "336-978-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BURKE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012413",
            "telephone_number": "336-978-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON YOUR MARK PEDIATRIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-978-1145",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.