MEDICARE: MR. MARK LUMPKIN P.T.

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	1099208	TX

General Provider Information

NPI Number	:	1598948135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK LUMPKIN P.T.

Provider Business Mailing Address
First Line	:	1319 S JACKSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-3021
Country	:	US
Telephone Number	:	903-586-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1319 S JACKSON ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-3021
Country	:	US
Telephone Number	:	903-586-4800
Fax Number	:

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

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	12/05/2007

Similar Medicare Providers

1215599162 — WALGREEN CO
Practice Location Address:

1329 S JACKSON ST
JACKSONVILLE, TX
75766-3021

Practice Phone: 903-339-7074
Practice Fax: 903-339-7075

1740892926 — DR. KEBBA S CAMARA PHARMD
Practice Location Address:

1329 S JACKSON ST
JACKSONVILLE, TX
75766-3021

Practice Phone: 903-339-7074
Practice Fax:

1134222854 — ALABAMA CVS PHARMACY, L.L.C.
Practice Location Address:

1001 PELHAM RD S
JACKSONVILLE, AL
36265-3021

Practice Phone: 205-435-2096
Practice Fax:

1558453662 — MCGOWAN SPINAL REHABILITATION CENTER PA
Practice Location Address:

3021 MAIN ST N
JACKSONVILLE, FL
32206-6168

Practice Phone: 904-350-5544
Practice Fax: 904-350-9944

1366796476 — MR. JERRY ELLIOTT WILCOXON MACCCSLP
Practice Location Address:

4048 GRANDE BLVD
JACKSONVILLE, FL
32250-3021

Practice Phone: 904-566-6031
Practice Fax:

1255859641 — MCGOWAN MEDICAL CENTERS, PA
Practice Location Address:

3021 N MAIN ST
JACKSONVILLE, FL
32206-2122

Practice Phone: 904-350-5544
Practice Fax: 904-350-9944

Directions to “ MR. MARK LUMPKIN P.T.” 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.