MR. MARK STEVEN PURCELL P.T. NPI 1952380222

NPI Information

NPI: 1952380222
Provider Name: MR. MARK STEVEN PURCELL, P.T.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1118 14TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (360) 636-4360
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MR. Mark Steven Purcell, P.T. is a specialist in Longview, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Mark Steven Purcell, P.T. NPI is 1952380222. 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:

1118 14TH AVE
LONGVIEW, WA
ZIP 98632-017
Phone: (360) 636-4360
Fax: (360) 425-5250

The enumeration date for this NPI number is 1/13/2006 and was last updated on 7/30/2010.

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
1	174400000X	Specialist		PT00002437	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PU0807	OTHER	WASHINGTON	REGENCE PROVIDER NUMBER
2	8413445	MEDICAID	WASHINGTON
3	182420	OTHER	WASHINGTON	OMAP PROVIDER NUMBER
4	6500 24408	OTHER	WASHINGTON	RAILROAD MEDICARE NUMBER
5	GAP29059	MEDICARE PIN	WASHINGTON
6	0103-981	OTHER	WASHINGTON	DEPARTMENT OF L & I NO.

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: 5/5/2024

NPI Synchronization or Removal

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