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

Mark Isackson, PT

Individual provider Physical Therapist · NPI 1396877130

Mark Isackson, PT is a Physical Therapist in Private Practice in Vancouver, Washington. Qualified in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
23
Licensed in
OR, WA
In the registry since
2007
Specialties on file
2
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

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Phone: (360) 944-2810
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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 9182 (WA)
Physical Therapist Taxonomy 225100000X · Licence 4727 (OR)

Record details

NPI number1396877130
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Vancouver