Mark David Van Balveren, P.T

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT22429 Issued in FL

Practice address

7305 N. Military Trail
Physical Medicine (117)
West Palm Beach, FL 33410

Phone

(561) 422-5732

Fax

(561) 422-8289

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083838312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 N. MILITARY TRAIL",
            "address_2": "PHYSICAL MEDICINE (117)",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-422-5732",
            "fax_number": "561-422-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 N. MILITARY TRAIL",
            "address_2": "PHYSICAL MEDICINE (117)",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-422-5732",
            "fax_number": "561-422-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BALVEREN",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT22429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeza Valleser
• Valley of Hope Holistic Medical Center
• Vinia Valmy Estivens, MS
• Valor Healthbridge LLC
• Eimara Vals Melian, NP
• Judy Van Der Grift, ARNP
• Ellen Chase Van Mol, M.D.
• Melissa Drajah Van Nest, MSW
• Griffin Van, DPM
• Ingrid Vanalstyne, LMHC

• Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.