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

Mark Alan Herbrich, PT, MA

Individual provider Physical Therapist · NPI 1619922952

Mark Alan Herbrich, PT, MA is a Physical Therapist in Private Practice in Lake Success, New York. Qualified in 1995, 31 years ago. Practices with Agewell Physical Therapy and Wellness, PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1999 Marcus Ave Ste M15
Lake Success, NY 11042-1013
Phone: (516) 488-8808
Fax: (516) 488-8818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 015532-1 (NY)

Record details

NPI number1619922952
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MA
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESMay 30, 2008
Mailing address198 Bryant Ave, Floral Park, NY 11001-1466

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Agewell Physical Therapy And Wellness, P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Success