MARK THELEN PT NPI 1164414058

NPI Information

  • NPI: 1164414058
  • Provider Name: MARK THELEN, PT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 1061 HARMON AVE STE 1D03
    FORT STEWART, GA
    ZIP 31314
  • Phone: (912) 435-6780

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NPI Details

Mark Thelen, PT is an orthopedic physical therapist in Fort Stewart, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Mark Thelen, PT NPI is 1164414058. 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:

1061 HARMON AVE STE 1D03
FORT STEWART, GA
ZIP 31314-641
Phone: (912) 435-6780

The enumeration date for this NPI number is 8/17/2005 and was last updated on 1/28/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedic4300SOUTH CAROLINAYes

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: 3/30/2025

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