Individual ProviderMark KoenigPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078(704) 316-1265PECOS EnrollmentBased on the most recent information from CMS, provider Mark Koenig does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1811482797Provider TypeIndividualFull NameKoenig, MarkGenderMaleSole ProprietorNoEnumeration Date6/25/2018Last Updated6/25/2018Contact InformationPractice LocationPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078Phone(704) 316-1265FaxUnlisted FaxMailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseP4613North Carolina