Mark Robert Wilcox, DPT
Physical Therapist · Shoreview, MN
Mark Robert Wilcox, DPT is a physical therapist with a practice address in Shoreview, Minnesota, and NPI 1629505359, issued on May 12, 2017. Check the license (Minnesota 12361, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mark Robert Wilcox
- Credential
- DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- 12361 MN
1990 SD
Self-reported in NPPES; status is on the state search - Practice location
- 4570 Churchill St Ste 300, Shoreview, MN 55126
- Phone
- (651) 481-1071
- Enumerated
- May 12, 2017
- Record last updated
- Oct 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (651) 481-0042
- Medicare enrollment
- Enrolled (PECOS I20211109000419); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 5,500 in Minnesota → Look up another NPI →
Also registered at 4570 Churchill St Ste 300
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jazzmyn Goldsmith, LMFTMarriage & Family Therapist1992288773
- Madison Gruenewald, MA, LADCProfessional Counselor1821524497
- Rebekah HuffMental Health Counselor1659209146
Verify Mark Robert Wilcox in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 12361Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Infinite Health Collaborative, PABlaine, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Robert Wilcox among 5,500 physical therapist records in Minnesota
Mark Robert Wilcox, DPT is one of 5,500 physical therapist records with a practice address in Minnesota. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 60% of them.
- NPI issued2017 · 60% of these records are older, 35% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 33% of these records are
- Graduated2017 · median 2016 among the 1,841 with a school on file
- Record last updated2021 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
18 physical therapist records list a practice address in Shoreview
They are 18 of the 397 NPPES records with a practice address in Shoreview, and 5,500 physical therapist records in Minnesota.
All 5,500 in Minnesota → Every provider in Shoreview → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Erin Blackford, PTShoreview, MN 551261700990504
- Roger Burtraw, PTShoreview, MN 551261588062988
- Megan Frost, P.T.Shoreview, MN 551261629287388
- Carol Gilligan, PTShoreview, MN 551261053436089
- Jayne Hart, DPTShoreview, MN 551261609185396
- Levi HibmaShoreview, MN 551261629592068
- Rachel Keller, DPTShoreview, MN 551261487003265
- Katherine Lazenby, PTShoreview, MN 551261598967390
Common questions
What is Mark Robert Wilcox, DPT's NPI number?
Mark Robert Wilcox, DPT's National Provider Identifier (NPI) is 1629505359, issued on May 12, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Mark Robert Wilcox, DPT located?
The NPPES record lists a practice address at 4570 Churchill St Ste 300, Shoreview, MN, 55126. Phone: (651) 481-1071. Providers update this record themselves, so call before visiting.
How can I verify Mark Robert Wilcox, DPT's license?
NPPES lists Minnesota license number 12361, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.