Individual provider Active NPI

Mark Plotkin, DPT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1902655954
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP031376T Issued in NC
Practice address
3230 Randleman Rd Ste a
Greensboro, NC 27406-6566
Phone
(336) 510-3915
Fax
(336) 218-6969
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP031376T NC Primary

Addresses

Primary practice location

3230 Randleman Rd Ste a
Greensboro, NC 27406-6566

Mailing address

3230 Randleman Rd Ste a
Greensboro, NC 27406-6566
Phone (336) 510-3915

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

LicenseStateTypeSpecialty
CP031376TNCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proptnc,LLC Physical Therapist CurrentSince May 17, 2024 Accepting new patients

Locations

3230 Randleman Rd
Ste A
Greensboro, NC 27406
Phone (336) 510-3915

112 Walmart Supercenter
Siler City, NC 27344
Phone (919) 799-2216

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1902655954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 RANDLEMAN RD STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066566",
            "telephone_number": "336-510-3915",
            "fax_number": "336-218-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 RANDLEMAN RD STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066566",
            "telephone_number": "336-510-3915",
            "fax_number": "336-218-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKIN",
        "first_name": "MARK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP031376T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.