MEDICARE: DR. MARK NIMCHUK DPT

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	2251G0304X	Geriatric Physical Therapist	PT010940L	PA

General Provider Information

NPI Number	:	1932350444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK NIMCHUK DPT

Provider Business Mailing Address
First Line	:	133 W HUNTING PARK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2717
Country	:	US
Telephone Number	:	215-455-5370
Fax Number	:	215-455-5374

Provider Business Practice Location Address
First Line	:	3251 CEDAR ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-4514
Country	:	US
Telephone Number	:	215-427-2242
Fax Number	:	215-427-2433

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

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	07/05/2016

Similar Medicare Providers

1508905944 — MANISH PATEL OTRL
Practice Location Address:

3251 CEDAR ST
PHILADELPHIA, PA
19134-4514

Practice Phone: 215-427-2242
Practice Fax: 215-427-2433

1346366416 — MELISSA LEBRON PT
Practice Location Address:

3251 CEDAR ST
PHILADELPHIA, PA
19134-4514

Practice Phone: 215-427-2242
Practice Fax: 215-455-5374

1609170679 — LA FORTALEZA PHYSICAL THERAPY INC
Practice Location Address:

3251 CEDAR ST
PHILADELPHIA, PA
19134-4514

Practice Phone: 215-427-2242
Practice Fax: 215-427-2433

1588871339 — MR. STEPHEN RICHARD DELUCA LMFT
Practice Location Address:

243 S 46TH ST
PHILADELPHIA, PA
19139-4514

Practice Phone: 215-386-0543
Practice Fax:

1548417462 — ROMARICO N. GALVAN DMD INC
Practice Location Address:

4514 PHILADELPHIA ST , SUITE A
CHINO, CA
91710-2240

Practice Phone: 909-465-1016
Practice Fax:

1174997480 — TEA HUYEN HOANG, D.M.D., INC.
Practice Location Address:

4514 PHILADELPHIA ST , A
CHINO, CA
91710-2240

Practice Phone: 909-465-1016
Practice Fax:

Directions to “ DR. MARK NIMCHUK DPT” 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.