Mark Kevin Viduya
Mark Kevin Viduya is a Physical Therapist in Private Practice in Madisonville, Tennessee. Qualified in 2022, 4 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 4
- Licensed in
- CT
- In the registry since
- 2023
Practice location Address checks out
4249 Highway 411 Ste 4Madisonville, TN 37354-1544
Phone: (423) 442-4034
Fax: (423) 442-6463
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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 012542 (CT) |
|---|
Record details
| NPI number | 1407557580 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2023 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Agilitas Usa, Inc — 810 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Madisonville
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Michaela Hauer, DPT
4249 Highway 411 Ste 4, Madisonville, TN 37354-1544 · (423) 442-4043
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Lance Hodge, PT
4249 Highway 411 Ste 4, Madisonville, TN 37354-1544 · (423) 442-4034
-
Gage A Kerns, DPT
4249 Highway 411 Ste 4, Madisonville, TN 37354-1544 · (423) 442-4034
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Mrs. Shannon R Scoggins, PT
520 Cook St Ste D, Madisonville, TN 37354 · (423) 442-1440