Jonathan Mack, PT, DPT

NPI 1295561090 · on the registry since 2024

Practice

Address: 9881 Broken Land Pkwy Ste 103
Columbia, MD 21046
Phone: (301) 798-4838
Organisation at this address: Tyrie Llc
Rehab 2 Perform Llc
Frederic Therapy Llc
Dodek & Dodek Dds, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland