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

Mark Robert Wilcox, DPT

Individual provider Physical Therapist · NPI 1629505359

Mark Robert Wilcox, DPT is a Physical Therapist in Private Practice in Shoreview, Minnesota. Qualified in 2017, 9 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota and South Dakota.

Years since qualifying
9
Licensed in
MN, SD
In the registry since
2017
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

4570 Churchill St Ste 300
Shoreview, MN 55126-2274
Phone: (651) 481-1071
Fax: (651) 481-0042
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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 12361 (MN)
Physical Therapist Taxonomy 225100000X · Licence 1990 (SD)

Record details

NPI number1629505359
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 12, 2017
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shoreview