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

Mark B McKinley, DPT

Individual provider Physical Therapist · NPI 1962895623

Mark B McKinley, DPT is a Physical Therapist in Private Practice in Prince George, Virginia. Qualified in 2013, 13 years ago. Practices with Orthovirginia Inc, a 570-clinician group and accepts Medicare assignment. Licensed in South Carolina and Virginia.

Years since qualifying
13
Licensed in
SC, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4710 Puddledock Rd Ste 100
Prince George, VA 23875-1269
Phone: (804) 732-0035
Fax: (804) 732-0045
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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 2305207940 (VA)
Physical Therapist Taxonomy 225100000X · Licence 7559 (SC)

Record details

NPI number1962895623
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020
Mailing address1115 Boulders Pkwy, Ste 200, North Chesterfield, VA 23225-4067

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Orthovirginia Inc — 570 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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