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

Mr. Mark T Bastan, DPT

Individual provider Physical Therapist · NPI 1124139936

Mr. Mark T Bastan, DPT is a Physical Therapist in Private Practice in Warwick, Rhode Island. Qualified in 2005, 21 years ago. Practices with Elite Physical Therapy LLC, a 74-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
21
Licensed in
RI
In the registry since
2006
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

535 Centerville Rd Ste 101
Warwick, RI 02886-4376
Phone: (401) 737-4581
Fax: (401) 737-6152
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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 PT02008 (RI)

Record details

NPI number1124139936
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address535 Centerville Rd, Suite 101, Warwick, RI 02886-4376

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Elite Physical Therapy Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Warwick