MR. MARK ANTHONY CACKO (MPT, OCS) – Physical Therapist, NPI 1700934221

MR. MARK ANTHONY CACKO (MPT, OCS) is a healthcare provider. based in Washington, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT, OCS. They hold a License No. 5501010882 (MI). The NPI Number for MR. MARK ANTHONY CACKO (MPT, OCS) is 1700934221

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK ANTHONY CACKO (MPT, OCS)
NPI
1700934221
Phone
(586) 202-4445
Address
60390 COTTAGE MILL DR
Enumeration Date
8 January 2007
Last Update Date
22 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486415010
Graduation Year
2001 (25 years ago)
PAC ID
9436418019
Group Practice PAC ID
1153494018
Professional Enrollment ID
I20180108000896
Address ID
MI480986337TR4850XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MR. MARK ANTHONY CACKO (MPT, OCS)

  • Cottage Mill Drive, Timber Mill North, Washington Charter Township, Macomb County, Michigan, 48094, United States

    WASHINGTON, MI 480943778

    Phone: (586) 202-4445

    Type: Mailing

  • 1845, Livernois Road, Council Corners, Troy, Oakland County, Michigan, 48083, United States

    TROY, MI 48083

    Phone: (248) 362-2150

    Fax: (248) 362-1702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180108000896IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,17341$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,00540$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care73738$0
97162Evaluation for physical therapy, typically 30 minutes4836$0
View full utilization report →

Insurance plans in this area (ZIP 48094)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153494018View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do I look up MR. MARK ANTHONY CACKO (MPT, OCS) by NPI?
Use NPI 1700934221 when you need to reference MR. MARK ANTHONY CACKO (MPT, OCS) in forms, claims, or directories.
Does this profile mean MR. MARK ANTHONY CACKO (MPT, OCS) is currently active?
Yes — MR. MARK ANTHONY CACKO (MPT, OCS) appears active in the national provider directory.
What does MR. MARK ANTHONY CACKO (MPT, OCS) treat or focus on?
Patients typically see MR. MARK ANTHONY CACKO (MPT, OCS) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MR. MARK ANTHONY CACKO (MPT, OCS)?
We surface Washington, Michigan for MR. MARK ANTHONY CACKO (MPT, OCS) based on available NPPES addresses.
Is MR. MARK ANTHONY CACKO (MPT, OCS) a real provider?
This page reflects official NPPES data for NPI 1700934221. Always confirm identity and privileges with the practice and licensing boards.

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