Mark Sudbeck

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04693 Issued in KS

Practice address

300 Utah St
Hiawatha, KS 66434-2326

Phone

(785) 742-2131

NPI assigned

Mar 18, 2015

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Amberwell Atchison Association

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Medicare reassignment NPD
• Sunrice Chiropractic LLC

  • Chiropractor
  • Atchison, KS
  • NPI 1629333844
  NPD

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1659765485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 4TH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342326",
            "telephone_number": "785-742-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Ravenhill Dr",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1903 Euclid Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Horton",
            "state": "KS",
            "postal_code": "664391238",
            "country_code": "US",
            "telephone_number": "785-486-2468",
            "fax_number": "785-486-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Progress Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436345",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "fax_number": "913-297-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDBECK",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "016289165",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004682200001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480157252",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Stallbaumer, D.C.
• Stars, Inc
• Deborah Diane Stoner-Bryan, M.D
• Kristin Stoughton, PHARM. D.
• Jennifer Studer, PT
• Surgical Associates of NE KS
• Max Allen Swim, D.C.
• Adelyn Tackitt, PT, DPT
• Abby Ann Tanking
• Michelle Tedman

• Physical Therapist in Hiawatha, KS
• Providers in Hiawatha, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.