Mark Allen Kincer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009464 Issued in MI

Practice address

35746 Harper Ave
Clinton TWP, MI 48035-3212

Phone

(586) 791-9203

Fax

(586) 791-9204

NPI assigned

Jul 25, 2007

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

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 and National Provider Directory roles.

• Part B LLC

  • Physical Therapist
  • Troy, MI
  • NPI 1285395962
  NPD (past)
• Port Huron Therapy Center LLC

  • Respite Care
  • Clinton Township, MI
  • NPI 1871546739
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1992905103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35746 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480353212",
            "telephone_number": "586-791-9203",
            "fax_number": "586-791-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35746 HARPER AVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480353212",
            "telephone_number": "586-791-9203",
            "fax_number": "586-791-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qasim Khan
• Nikha Khanna, PT
• Kurtis Robert Kieleszewski, D.O.
• Si Young Kim, M.D.
• Jeffrey Allen Kincer
• Thomas Fohnatee King, D.O
• Jeffrey M Kirby
• Tracy Kirkconnell
• Nicole A Kirkendall, DPT, CERT. MDT, OCS
• Adam Laurence Klemz, LLMSW

• Physical Therapist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.