Mark Landis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI004998 Issued in PA

Practice address

970 Colonial Ave
York, PA 17403-3430

Phone

(717) 845-2661

NPI assigned

Jan 12, 2019

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": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1508330531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N QUEEN ST",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173151214",
            "telephone_number": "717-841-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 COLONIAL AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033430",
            "telephone_number": "717-845-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "MARK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Landi
• Stephanie Landis-Rohrbaugh, PHDHP
• Jordan Landis, MS, CCC-SLP
• Kylee Anne Landis
• Lauren Landis
• Robert Chester Landis, MD
• Toni Landis
• William Allen Landis, MD
• Adrianne Lang, PHD, CCC-SLP
• John James Lapelusa, DPM

• Physical Therapy Assistant in York, PA
• Providers in York, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; 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.