Mary K Popylisen, PT, ATC is a
Specialist/technologist - Athletic Trainer based in Berkeley, California. Mary K Popylisen is licensed to practice in California (license number 80680) and her current practice location is
2222 Bancroft Ext, Berkeley, California. She can be reached at her office (for appointments etc.) via phone at
(510) 642-5651.
NPI number for Mary K Popylisen is 1245441237 and her current mailing address is 4436 Hyacinth Ave, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245441237.
Healthcare Provider's Profile
| Full Name | Mary K Popylisen |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 2222 Bancroft Ext, Berkeley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245441237
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mary K Popylisen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245441237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 16912 (California) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 80680 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary K Popylisen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mary K Popylisen, PT, ATC 4436 Hyacinth Ave, Oakland, CA 94619-2816 Ph: (510) 482-5510 | Mary K Popylisen, PT, ATC 2222 Bancroft Ext, Berkeley, CA 94720-4300 Ph: (510) 642-5651 |
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