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

Marcus Howard Sistrun

Individual provider Physical Therapist · NPI 1568131688

Marcus Howard Sistrun is a Physical Therapist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021

Practice location Address checks out

2301 N Broad St
Philadelphia, PA 19132-4534
Phone: (215) 228-2656
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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 PT029731 (PA)

Record details

NPI number1568131688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2021
Last updated in NPPESSeptember 25, 2021
Certification dateSeptember 25, 2021

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