Active NPI
Mark Gerald Sinkovitz, PTA
- Physical Therapy Assistant
- Clackamas, OR
National Provider Identifier
1932625852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 09436
- Practice address
- 10121 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5713 - Phone
- (971) 233-8400
- NPI assigned
- Aug 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 09436 | OR | Primary |
Addresses
Primary practice location
10121 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5713
Mailing address
6765 SW Raleighwood LN
Portland, OR 97225-1922
Phone (941) 536-6232
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09436 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1932625852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6765 SW RALEIGHWOOD LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251922",
"telephone_number": "941-536-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 SE SUNNYSIDE RD STE 300",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155713",
"telephone_number": "971-233-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINKOVITZ",
"first_name": "MARK",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "09436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.