Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Andrew Jagodzinski, PT

Individual provider Physical Therapist · NPI 1891732467

Dr. Mark Andrew Jagodzinski, PT is a Physical Therapist in Private Practice in Surprise, Arizona. Qualified in 2001, 25 years ago. Practices with Modern Sports Medicine LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
25
Licensed in
AZ
In the registry since
2006
Specialties on file
6
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12515 W Bell Rd Ste 103
Surprise, AZ 85378-9701
Phone: (623) 234-4171
Fax: (623) 234-4173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5576 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 5576 (AZ)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 5576 (AZ)
Hand Physical Therapist Taxonomy 2251H1200X · Licence 5576 (AZ)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 5576 (AZ)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 5576 (AZ)

Record details

NPI number1891732467
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023
Mailing address12515 W Bell Rd Ste 103, Surprise, AZ 85378-9701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Modern Sports Medicine Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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