Individual provider Active NPI

Mark Epler, PT,DPT,CSCS

  • Orthopedic Physical Therapist
  • Bennington, VT
National Provider Identifier
1922585231
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
040.0003406 Issued in VT
Practice address
100 Hospital Dr
Bennington, VT 05201-5004
Phone
(802) 447-5140
Fax
(802) 447-5429
NPI assigned
Jul 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 040.0003406 VT
Sports Physical Therapist 2251S0007X 02210 NY
Orthopedic Physical Therapist 2251X0800X 022210 NY
Orthopedic Physical Therapist 2251X0800X 040.0003406 VT Primary

Addresses

Primary practice location

100 Hospital Dr
Bennington, VT 05201-5004

Mailing address

10 Avenue B
Cambridge, NY 12816-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829000771 NY Practitioner - Physical Therapist in Private Practice 7618227448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02210NYMDSports Physical Therapist
040.0003406VTMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Medical PC CurrentSince Aug 1, 2018 Accepting new patients
Twin Rivers Medical PC CurrentSince Aug 1, 2018 Accepting new patients

Locations

16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Rivers Medical PC 17 clinicians

Practice addresses (Care Compare)

16 Danforth St
Hoosick Falls, NY 12090-1226
Phone (518) 686-5770

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1922585231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AVENUE B",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128161239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015004",
            "telephone_number": "802-447-5140",
            "fax_number": "802-447-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPLER",
        "first_name": "MARK",
        "credential": "PT,DPT,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VT",
            "license": "040.0003406",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "02210",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "022210",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VT",
            "license": "040.0003406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.