Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark E Pettis, PTA

Individual provider Community Health Worker · NPI 1982884524

Mr. Mark E Pettis, PTA is a Community Health Worker in LA Porte, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

203 Stanley Ct
LA Porte, IN 46350-4159
Phone: (219) 362-2744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 06003247A (IN)

Record details

NPI number1982884524
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 12, 2007
Last updated in NPPESAugust 25, 2008