Mark Vandoninck, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9580 Issued in NC

Practice address

2675 Court Dr
Gastonia, NC 28054-1478

Phone

(704) 824-7800

Fax

(702) 824-7898

NPI assigned

Nov 3, 2006

Last updated

Apr 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Demaine Chiropractic &Wellnes Center PA

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  • NPI 1255367397
  NPD (past)
• The Neurological Institute PA

  • Neurology Physician
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  • NPI 1407807092
  NPD (past)
• United Sleep Medicine Associates PA

  • Sleep Disorder Diagnostic Clinic/Center
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  • NPI 1033172960
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1609955467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800",
            "fax_number": "702-824-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDONINCK",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7211534",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Fried Vanauken
• Vance Internal Medicine
• Gabriella Athena Vandenberg, DNP
• James Tucker Vanderburg, PHARMD
• Christopher Johannus Vandermeer, MD
• Faith Paj Vang
• Brandon O'Neal Vanhook, M.P.T.
• Morgan Vanhoy
• Jaime J Vanourny, MD
• Dana Elizabeth Vanstrom, LCSWA

• Physical Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.