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MARK NOLAN AUGUSTINE PT NPI 1467444547


NPI Information

NPI: 1467444547
Provider Name: MARK NOLAN AUGUSTINE, PT
Classification: Physical Therapist - 2251N0400X
Entity Type: Individual

Specialization: Neurology

Address:
600 GRESHAM DR
NORFOLK, VA
ZIP 23507
Phone: (757) 388-3663
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Mark Nolan Augustine, PT is a neurology physical therapist in Norfolk, VA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. Mark Nolan Augustine, PT NPI is 1467444547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 GRESHAM DR
NORFOLK, VA
ZIP 23507-904
Phone: (757) 388-3663

The enumeration date for this NPI number is 8/16/2005 and was last updated on 5/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251N0400XPhysical TherapistNeurologyPT0000005211TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13658398MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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