Mark A. Kirsch, MPT
Physical Therapist in Santa Ana, CA. Individual provider (NPI-1).
NPI number1154428829
StatusActive
Last updated in NPPESJan 22, 2008
Details
- NPI
- 1154428829
- Entity type
- Individual (NPI-1)
- Name
- Mark A. Kirsch
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2006
- Last updated
- Jan 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 22903 | CA | Yes |
Practice location
201 Sandpointe AveSuite 130
Santa Ana, CA 92707-5778
Phone 714-557-9292 · Fax 714-557-9137
Mailing address
201 Sandpointe AveSuite 130
Santa Ana, CA 92707-5778
Phone 714-557-9292 · Fax 714-557-9137
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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