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

Mark Razon, PT, DPT

Individual provider Physical Therapist · NPI 1528770674

Mark Razon, PT, DPT is a Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2022, 4 years ago. Practices with Physical Therapy Ultra PLLC, a 4-clinician group. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

958 Nostrand Ave
Brooklyn, NY 11225-2901
Phone: (718) 701-7300
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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 049661-01 (NY)

Record details

NPI number1528770674
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physical Therapy Ultra Pllc — 4 clinicians
Accepts Medicare assignment Not indicated

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