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

Individual provider Physical Therapist · NPI 1174513980

Mark Powicki, PT is a Physical Therapist in Private Practice in Randolph, Massachusetts. Qualified in 1998, 28 years ago. Practices with Bd Physical Therapy Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
28
Licensed in
MA
In the registry since
2005
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

63 S Main St
Randolph, MA 02368-4862
Phone: (781) 961-4460
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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 11449 (MA)

Record details

NPI number1174513980
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address63 S Main St, Randolph, MA 02368-4862

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Bd Physical Therapy Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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