Mark Powicki, PT
Physical Therapist in Randolph, Massachusetts
1174513980- Practice location
- 63 S Main St, Randolph, MA 02368-4862
- Phone
- 781-961-4460
- Fax
- —
- Last updated
- December 6, 2022
Mark Powicki is a Physical Therapist based in Randolph, MA. Mark Powicki practices in Randolph, MA and has the professional credentials of PT. The NPI Number for Mark Powicki is 1174513980 and holds a License No. 11449 (MA). The current practice location address for Mark Powicki is 63 S Main St, Randolph, MA 02368-4862 and can be reached out via phone at 781-961-4460.
Provider Profile Details
- NPI Number
- 1174513980
- Provider Name
- Mark Powicki
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 63 S Main St, Randolph, MA 02368-4862
- Phone Number
- 781-961-4460
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2005
- Last Update Date
- December 6, 2022
- Certification Date
- December 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 S Main St
Randolph, MA 02368-4862 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4862
- Phone Number
- 781-961-4460
Provider Business Mailing Address Details
- Address
- 63 S Main St
Randolph, MA 02368-4862 - City
- Randolph
- State
- MA
- Zip
- 02368-4862
- Phone Number
- 781-961-4460
License Information
- License Number
- 11449
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark Powicki, PT?
The NPI number of Mark Powicki, PT is 1174513980. It was assigned on October 24, 2005 and is currently active in the NPPES registry.
What is the specialty of Mark Powicki, PT?
Mark Powicki, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 11449.
Where does Mark Powicki, PT practice?
The practice location is 63 S Main St, Randolph, MA 02368-4862. The office can be reached at 781-961-4460 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174513980 directly on the NPPES registry website.