Active NPI
Mark Truskowski, DPT
- Physical Therapist
- Hermiston, OR
National Provider Identifier
1891393419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65027
- Practice address
- 970 W Juniper Ave
Hermiston, OR 97838-2118 - Phone
- (541) 567-8337
- NPI assigned
- Oct 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36321 | FL | |
| Physical Therapist | 225100000X | 65027 | OR | Primary |
Addresses
Primary practice location
970 W Juniper Ave
Hermiston, OR 97838-2118
Mailing address
970 W Juniper Ave
Hermiston, OR 97838-2118
Phone (541) 567-8337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36321 | FL | MD | Physical Therapist |
| 65027 | OR | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1891393419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 W JUNIPER AVE",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382118",
"telephone_number": "541-567-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 W JUNIPER AVE",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382118",
"telephone_number": "541-567-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUSKOWSKI",
"first_name": "MARK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-15",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36321",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.