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

Mr. Mark Frederick, PT

Individual provider Physical Therapist · NPI 1306234604

Mr. Mark Frederick, PT is a Physical Therapist in Paola, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2015
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

908 N Pearl St
Paola, KS 66071-1140
Phone: (913) 294-4308
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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 11-03035 (KS)

Record details

NPI number1306234604
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 8, 2015
Last updated in NPPESJanuary 8, 2015
Mailing address908 N Pearl St, Paola, KS 66071-1140

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