Mark Lowell Osadchey, R.P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT-1001 Issued in ID

Practice address

3310 Valencia Dr
Idaho Falls, ID 83404-7502

Phone

(208) 520-4041

Fax

(208) 745-9477

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992872923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3914",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033914",
            "telephone_number": "208-520-4041",
            "fax_number": "208-745-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 VALENCIA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047502",
            "telephone_number": "208-520-4041",
            "fax_number": "208-745-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSADCHEY",
        "first_name": "MARK",
        "middle_name": "LOWELL",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "ID",
            "license": "PT-1001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orbit Medical of Idaho Falls Inc
• Steven Orme, LCSW
• Stephanie Ann Orr, FNP-C
• Orthopro of Twin Falls, Inc.
• Taylor Orton, MD
• Lacey Day Osgood, MOTR/L
• Joseph C. Ostendorf, M.S., CCC/SLP
• Mary Beth Ostrom, M.D.
• Brad L Oswald, DDS
• Cami Jo Oswald, MS, CCC

• Geriatric Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Geriatric Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.