MR. MARK ALAN RUTLEDGE OTR NPI 1255431730

NPI Information

  • NPI: 1255431730
  • Provider Name: MR. MARK ALAN RUTLEDGE, OTR
  • Classification: Occupational Therapist - 225XH1300X
  • Specialization: Human Factors
  • Entity Type: Individual
  • Address: 24349 KATIE LN
    WATERTOWN, NY
    ZIP 13601
  • Phone: (315) 767-4931

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NPI Details

MR. Mark Alan Rutledge, OTR is a human factors occupational therapist in Watertown, NY. MR. Mark Alan Rutledge, OTR NPI is 1255431730. 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:

24349 KATIE LN
WATERTOWN, NY
ZIP 13601-137
Phone: (315) 767-4931

The enumeration date for this NPI number is 9/24/2006 and was last updated on 9/11/2025.

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
1225X00000XOccupational Therapist008883-1NEW YORKNo
2225XH1300XOccupational TherapistHuman Factors008883-1NEW YORKYes
3225XN1300XOccupational TherapistNeurorehabilitation008883-1NEW YORKNo
4225XP0200XOccupational TherapistPediatrics008883-1NEW YORKNo

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: 11/21/2025

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