MARK L VANDERSNICK (NPI# 1992326193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992326193 |
| Entity Type | Individual |
| Full Name | MARK L VANDERSNICK |
| Credential | MSPT |
| Practice Address |
3545 S National Ave Springfield MO 65807-7310 |
| Practice Telephone | 4172695124 |
| Practice Fax Number | 4172695508 |
| Mailing Telephone | 4172695124 |
| Mailing Fax Number | 4172695508 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3545 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942194 | James E Bruton Jr. | Specialist/Technologist | 3545 S National Ave, Meyer Center, Springfield, MO 65807-7310 | 2006-06-19 |
| 1659988046 | Taylor Waller | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-09-29 |
| 1013538099 | Miranda Benson | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-05-01 |
| 1144841057 | Kevin Bruce Clinton | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-05-01 |
| 1134740178 | Rachel Lea Compere | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1841811858 | Peter Anthony Martinez | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1265053276 | Robert Brent Doss | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1043831381 | Ronald Lee Sapp I | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
| 1629699921 | John Andrew Compton | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
| 1568082956 | Erika Louderbaugh | Occupational Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656574 | Richard Dean Maas | Physical Therapist | 2230 W Sunset St, Springfield, MO 65807-5980 | 2020-03-31 |
| 1235773771 | Anne Wuhrer | Physical Therapist | 8001 Braddock Rd Ste 100, Springfield, VA 22151-2110 | 2019-10-28 |
| 1043546401 | Zbigniew Paluch | Physical Therapist | 336 Longhill St, Springfield, MA 01108-1407 | 2009-10-20 |
| 1689821910 | Michael Lee Hillstrand | Physical Therapist | 650 Harlow Rd, #203, Springfield, OR 97477-1233 | 2008-08-18 |
| 1518970870 | R. Dennis Mathewson | Physical Therapist | 360 Birnie Ave, Springfield, MA 01199-0001 | 2006-08-15 |
| 1760092290 | Kristina Wendl | Physical Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2020-08-10 |
| 1396367264 | Brandon Allen Lane | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2020-05-13 |
| 1265053276 | Robert Brent Doss | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-30 |
| 1043831381 | Ronald Lee Sapp I | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-28 |
| 1316567571 | Brandon M Poole | Physical Therapist | 3545 S National Ave, Springfield, MO 65807-7310 | 2020-04-17 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on MARK L VANDERSNICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.