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

Dr. Mark Evan Ogletree, PT, DPT

Individual provider Physical Therapist · NPI 1568154854

Dr. Mark Evan Ogletree, PT, DPT is a Physical Therapist in Private Practice in Kennesaw, Georgia. Qualified in 2023, 3 years ago. Practices with Pro Performance Therapy, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1615 Ridenour Blvd NW Ste 204
Kennesaw, GA 30152-4464
Phone: (770) 580-8070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016544 (GA)

Record details

NPI number1568154854
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pro Performance Therapy, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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