Mark Steven Purcell, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT00002437 Issued in WA

Practice address

1118 14TH Ave
Longview, WA 98632-3017

Phone

(360) 636-4360

Fax

(360) 425-5250

NPI assigned

Jan 13, 2006

Last updated

Jul 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Longview, WA
  • NPI 1194934091
  Authorized official Same address or phone
• Ocean Beach Physical Therapy Inc

  • Physical Therapist
  • Ilwaco, WA
  • NPI 1356423883
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1952380222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323017",
            "telephone_number": "360-636-4360",
            "fax_number": "360-425-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 14TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323017",
            "telephone_number": "360-636-4360",
            "fax_number": "360-425-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT00002437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER NUMBER",
            "identifier": "PU0807",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8413445",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF L & I NO.",
            "identifier": "0103-981",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "6500 24408",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP PROVIDER NUMBER",
            "identifier": "182420",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Paige Pruitt, ME
• Sarah Pryor, LMT
• Alena Prystupa, M.D.
• PT Northwest of Longview Inc
• Kelly Ann Purcell, LMHCA,CAAR
• Matthew John Pyrch, PA-C
• Qualicenters Inland Northwest, LLC (Fresenius Medical Care Longview)
• William P Quinlan
• Angela Quinn
• Hailie L Rabalais, BA, AAC

• Specialist in Longview, WA
• Providers in Longview, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.