Provider Demographics
NPI:1710913579
Name:MARKLEY, FRANK MICHAEL JR (PT DPT)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MICHAEL
Last Name:MARKLEY
Suffix:JR
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4513
Mailing Address - Country:US
Mailing Address - Phone:610-859-8850
Mailing Address - Fax:610-859-7876
Practice Address - Street 1:1331 E WYOMING AVE
Practice Address - Street 2:SUITE 4120
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3808
Practice Address - Country:US
Practice Address - Phone:215-831-1170
Practice Address - Fax:215-744-7394
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30072881OtherKEYSTONE MERCY
PA100860088Medicaid
PA2217324000OtherINDEPENDENCE BLUE CROSS
DE1710913579Medicaid
PA30016795OtherKEYSTONE MERCY
306187OtherUNISON
PA001531990OtherHIGHMARK BLUE SHIELD
DE1710913579Medicaid