Active NPI
Mark Twellman, D.P.T.
- Physical Therapist
- Merriam, KS
National Provider Identifier
1245518117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-04283
- Practice address
- 10000 W 75TH St
Suite 250
Merriam, KS 66204-2209 - Phone
- (913) 894-1910
- NPI assigned
- Jul 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04283 | KS | Primary |
Addresses
Primary practice location
10000 W 75TH St
Suite 250
Merriam, KS 66204-2209
Mailing address
4811 W 108TH Ter
Apt. 827
Overland Park, KS 66211-1264
Phone (314) 324-7313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04283 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1245518117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4811 W 108TH TER",
"address_2": "APT. 827",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111264",
"telephone_number": "314-324-7313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W 75TH ST",
"address_2": "SUITE 250",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042209",
"telephone_number": "913-894-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWELLMAN",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-26",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.