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

Mr. Mark E Pettis, PTA

Individual provider Community Health Worker · NPI 1982884524

Mr. Mark E Pettis, PTA is a Community Health Worker in LA Porte, Indiana. Practices as a sole proprietor. Licensed in Indiana.

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

See every abbreviation used in this directory →

Practice location Address checks out

203 Stanley Ct
LA Porte, IN 46350-4159
Phone: (219) 362-2744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 06003247A (IN)

Record details

NPI number1982884524
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 12, 2007
Last updated in NPPESAugust 25, 2008
Mailing address203 Stanley Ct, La Porte, IN 46350-4159