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

Mr. Mark Anthony Patillo, PTA

Individual provider Physical Therapist · NPI 1770780405

Mr. Mark Anthony Patillo, PTA is a Physical Therapist in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4007 W Wendover Ave
Greensboro, NC 27407-1904
Phone: (336) 218-7575
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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 2744 (NC)

Record details

NPI number1770780405
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESJuly 8, 2007

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