MEDICARE: MARK JOSEPH GRANGER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH3635	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DB9027	OTHER	AL	RAILROAD MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1003819608	OTHER	AL	GROUP NPI
2	510-02352	OTHER	AL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134140304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK JOSEPH GRANGER PT

Provider Business Mailing Address
First Line	:	1908 FLINT RD SE
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-6031
Country	:	US
Telephone Number	:	256-340-9708
Fax Number	:	256-340-9624

Provider Business Practice Location Address
First Line	:	4223 ORANGE BEACH BLVD
Second Line	:	SUITE D
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-3459
Country	:	US
Telephone Number	:	251-981-1300
Fax Number	:	251-981-1305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	03/27/2009

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1548294713 — ABBY M ELLENBURG PT
Practice Location Address:

4223 ORANGE BEACH BLVD , SUITE D
ORANGE BEACH, AL
36561-3459

Practice Phone: 251-981-1300
Practice Fax: 251-981-1305

1417978321 — ASHLEY K SPRAYBERRY PT
Practice Location Address:

4223 ORANGE BEACH BLVD , SUITE D
ORANGE BEACH, AL
36561-3459

Practice Phone: 251-981-1300
Practice Fax: 251-981-1305

1912920133 — ANTHONY T KENNON PT
Practice Location Address:

4223 ORANGE BEACH BLVD , SUITE D
ORANGE BEACH, AL
36561-3459

Practice Phone: 251-981-1300
Practice Fax: 251-981-1305

1952485658 — RUSSELL J PROCTOR MD LLC
Practice Location Address:

4223 ORANGE BEACH BLVD , STE. A
ORANGE BEACH, AL
36561-3459

Practice Phone: 251-981-8713
Practice Fax:

1790861615 — DR. STEVEN WAYNE GRAVELY D.C.
Practice Location Address:

4223 ORANGE BEACH BLVD , SUITE B
ORANGE BEACH, AL
36561-3459

Practice Phone: 251-980-2225
Practice Fax: 251-980-2779

Directions to “ MARK JOSEPH GRANGER PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.