Mark T Stansberry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005383 Issued in MI

Practice address

1106 W High St
Mt Pleasant, MI 48858-2242

Phone

(989) 779-2920

Fax

(989) 772-9424

NPI assigned

Jan 3, 2007

Last updated

Jun 21, 2008By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Town Rehab, IncGroup PAC ID 8729069109, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12006/brand/1/csg/1/fhir/r4

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.

• Mountain Town Rehab, Inc

  • Physical Therapist
  • Mt Pleasant, MI
  • NPI 1003025263
  Medicare reassignment Care Compare group NPD Authorized official
• Sacred Heart Mercy Health Care Center

  • Internal Medicine Physician
  • Alma, MI
  • NPI 1033266085

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214006400000",
    "number": "1689731119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W HIGH ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582242",
            "telephone_number": "989-779-2920",
            "fax_number": "989-772-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W HIGH ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582242",
            "telephone_number": "989-779-2920",
            "fax_number": "989-772-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBERRY",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM PROVIDER NUMBER",
            "identifier": "352191234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER NUMBER",
            "identifier": "650C700040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Sue Stadtfeld, RN
• Tammy Stair
• Michelle Ann Stanford
• Alex G Stansberry, DPT
• Kyle Louis Stansberry, RDN
• Stacie Lea Stanton, MS, LLPC, CADC
• Leslie Starnes, DO
• Sarah Starrs, MSP, CCC-SLP
• State of Michigan (Mt Pleasant Center)
• Stefaniebp, LLC

• Physical Therapist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.