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MARK THELEN PT
NPI 1164414058
Physical Therapist - Orthopedic in Fort Stewart, GA

Active since August 17, 2005
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314(912) 435-6780 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Thelen Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK THELEN PT (NPI 1164414058) is an individual orthopedic provider in Fort Stewart, Georgia, licensed in South Carolina (4300) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1164414058
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMARK THELENCredential: PT
Location Address1061 HARMON AVE STE 1D03Fort Stewart, GA 31314-5641
Mailing Address1061 Harmon Ave Ste 1d03Fort Stewart, GA 31314-5641 · (912) 435-6780
Phone(912) 435-6780
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateJanuary 28, 2011
✔ NPI 1164414058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in SC · 4300
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1061 HARMON AVE STE 1D03, Fort Stewart, GA 31314
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHIRLEY C FRASIER RN
Registered Nurse (Community Health)
1061 HARMON AVE STE 1D03
FT. STEWART, GA 31314
Liberty County (912) 435-5071
MARY G JAMES LCSW
Social Worker (Clinical)
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
Liberty County (912) 435-6779
KEITH EDWARD WHEELER LCSW
Social Worker (Clinical)
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314
Liberty County (912) 315-6730
MS. DAIANA LYNN FRYM PA
Physician Assistant (Medical)
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
Liberty County (912) 435-5595
MR. RICARDO NONE SWENNESS PA-C
Physician Assistant (Medical)
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314
Liberty County (912) 435-5869
DR. KEDRON RONELL HEADS II MD
Family Medicine
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
Liberty County (912) 435-6868
MS. GAIL LYNNE MAXWELL PA-C
Physician Assistant (Medical)
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL
FORT STEWART, GA 31314
Liberty County (912) 435-9862
MR. PAUL W WICKARD PA
Emergency Medicine
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314
Liberty County (912) 435-7013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Thelen's NPI number?

The NPI number for Mark Thelen is 1164414058. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Mark Thelen located?

Mark Thelen practices at 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314. The listed phone number is (912) 435-6780.

What is Mark Thelen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Mark Thelen was last updated on January 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.