MARK DAVYDOV DPT
NPI 1639595192
Physical Therapist in Arvada, CO

Active since March 07, 2014Accepts Medicare Assignment
10050 RALSTON RD STE 1, ARVADA, CO 80004(929) 340-1606 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark Davydov Dpt NPPES

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

MARK DAVYDOV DPT (NPI 1639595192) is an individual physical therapist in Arvada, Colorado, licensed in Colorado (0017140) and active in the NPI registry since March 2014. He is a graduate of New York Medical College (2014).

NPPES Registry Identity

NPI1639595192
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMARK DAVYDOVCredential: DPT
Location Address10050 RALSTON RD STE 1Arvada, CO 80004-4974
Mailing Address10050 Ralston Rd Ste 1Arvada, CO 80004-4974 · (929) 340-1606
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2014
Enumeration DateMarch 7, 2014
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1639595192 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 CO · 0017140
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.
10050 RALSTON RD STE 1, Arvada, CO 80004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Davydov 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 ID7618190521
PECOS Enrollment IDI20210601001820

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Davydov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
10050 RALSTON RD UNIT 7
Arvada, CO 80004
  • Reassigned Medicare billing, Colorado enrollment
Physical Therapist
3 GRACE AVENUE, SUITE 119
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Outreach Physical And Occupational Therapy & Speech Rehabilitation, Pl
  • 161 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,939 services50 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
358 services43 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
48 services30 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
37 services31 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
28 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80004 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Nurse Practitioner (Adult Health)
10050 RALSTON RD STE 1
ARVADA, CO 80004
Nurse Practitioner (Family)
10050 RALSTON RD STE 1
ARVADA, CO 80004
Family Medicine
10050 RALSTON RD STE 1
ARVADA, CO 80004
Clinic/Center (Physical Therapy)
10050 RALSTON RD STE 1
ARVADA, CO 80004

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 Davydov's NPI number?

The NPI number for Mark Davydov is 1639595192. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Where is Mark Davydov located?

Mark Davydov practices at 10050 Ralston Rd Ste 1, Arvada, CO 80004. The listed phone number is (929) 340-1606.

What is Mark Davydov's specialty?

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

Is Mark Davydov enrolled in Medicare?

Yes. Mark Davydov 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.

Which organizations bill Medicare for Mark Davydov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Davydov reassigns Medicare benefits to 2 organizations: Phenom Sports And Rehabilitation (Arvada, CO) and Outreach Physical And Occupational Therapy & Speech Rehabilitation, PLLC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Davydov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Davydov was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.