JONATHAN DEVON MACK PT, DPT
NPI 1295561090
Physical Therapist in Columbia, MD

Active since September 10, 2024Accepts Medicare Assignment
9881 BROKEN LAND PKWY STE 103, COLUMBIA, MD 21046(301) 798-4838 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Devon Mack Pt, Dpt NPPES

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

JONATHAN DEVON MACK PT, DPT (NPI 1295561090) is an individual physical therapist in Columbia, Maryland, licensed in Virginia (2305215805) and active in the NPI registry since September 2024. He is a graduate of Virginia Commonwealth University, School Of Medicine (2023).

NPPES Registry Identity

NPI1295561090
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJONATHAN DEVON MACKCredential: PT, DPT
Location Address9881 BROKEN LAND PKWY STE 103Columbia, MD 21046-3013
Mailing Address7300 Boulder Lake Dr Apt 1201North Chesterfield, VA 23225-5570 · (757) 641-7645
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2023
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
NPI 1295561090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in VA · 2305215805
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
9881 BROKEN LAND PKWY STE 103, Columbia, MD 21046

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Devon Mack Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840724118
PECOS Enrollment IDI20251119001653

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
9881 BROKEN LAND PKWY STE 103
COLUMBIA, MD 21046
Physical Therapist
9881 BROKEN LAND PKWY STE 103
COLUMBIA, MD 21046
Physical Therapist
9881 BROKEN LAND PKWY STE 103
COLUMBIA, MD 21046
Physical Therapist
9881 BROKEN LAND PKWY STE 103
COLUMBIA, MD 21046

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 Jonathan Mack's NPI number?

The NPI number for Jonathan Mack is 1295561090. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Jonathan Mack located?

Jonathan Mack practices at 9881 Broken Land Pkwy Ste 103, Columbia, MD 21046. The listed phone number is (301) 798-4838.

What is Jonathan Mack's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jonathan Mack enrolled in Medicare?

Yes. Jonathan Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Mack was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.