Healthcare Provider Details

I. General information

NPI: 1801981808
Provider Name (Legal Business Name): MARK MCDONALD P.T., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W MAIN ST
STERLING CO
80751-3033
US

IV. Provider business mailing address

427 W MAIN ST
STERLING CO
80751-3033
US

V. Phone/Fax

Practice location:
  • Phone: 970-522-7743
  • Fax: 970-522-8835
Mailing address:
  • Phone: 970-522-7743
  • Fax: 970-522-8835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0229266
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0229266
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0229266
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK MCDONALD
Title or Position: PRESIDENT
Credential: DPT,OCS
Phone: 970-522-7743