Mr. Mark Leslie Grogan is a Madison, Mississippi based male who is specialized as Physical Therapist Assistant. Active license number of Mr. Mark Leslie Grogan as Physical Therapist Assistant is PTA4334 in Mississippi. Mr. Mark Leslie Grogan is an individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. He help patients to follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist.
Complete Profile:
Mr. Mark Leslie Grogan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Physical Therapy Assistant
Gender:
Male
Practice Address:
401 Baptist Dr, Suite 306, Madison, Mississippi, 39110-2009
Phone:
601-607-7204
Fax:
601-607-7430
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1811292501
NPI Enumeration Date:
11 Jan, 2011
NPI Last Update On:
11 Jan, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mark Leslie Grogan are as mentioned below.
License Number
Specialization
State
Status
PTA4334
Physical Therapy Assistant
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Mark Leslie Grogan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
640881013
Other
Mississippi
TAX ID
0220392
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
401 Baptist Dr, Suite 306 Madison, Mississippi
Zip:
39110-2009
Phone Number:
601-607-7204
Fax Number:
601-607-7430
Patients can reach Mr. Mark Leslie Grogan at 401 Baptist Dr, Suite 306, Madison, Mississippi or can call to book an appointment on 601-607-7204. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Similar Physical Therapy Assistant in Madison, MS
Jennifer S Jones Speciality: Physical Therapy Assistant Address: 401 Baptist Dr, Suite 306, MS Phone: 601-607-7204 Fax: 601-607-7430
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Charles Thomas Speciality: Physical Therapy Assistant Address: 401 Baptist Dr, Suite 306, MS Phone: 601-607-7204