Individual provider Active NPI

Mark Vanalstyne, DC, PT

  • Physical Therapist
  • Fayetteville, NY
National Provider Identifier
1821187790
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027302 Issued in NY
Practice address
7000 E Genesee St
BLDG a Lower Level
Fayetteville, NY 13066-1131
Phone
(315) 445-4835
Fax
(315) 445-4836
NPI assigned
Oct 11, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 009590 NY
Physical Therapist 225100000X 027302 NY Primary

Addresses

Primary practice location

7000 E Genesee St
BLDG a Lower Level
Fayetteville, NY 13066-1131

Mailing address

7000 E Genesee St
BLDG a Lower Level
Fayetteville, NY 13066-1131
Phone (315) 445-4835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050921000967 NY Practitioner - Physical Therapist in Private Practice 2365476108 Practice locations: Fayetteville, NY
I20061110000225 NY Practitioner - Chiropractic 2365476108 Practice locations: Fayetteville, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7000 E Genesee St
BLDG a
Fayetteville, NY 13066-1131
Phone (315) 445-4835

7000 E Genesee St
Suite A2
Fayetteville, NY 13066-1128
Phone (315) 445-4835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009590NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Judi F. Rozsa LCSW Casac P.C. Past Accepting new patients
Judith F Rozsa MSW CSW Cac PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1821187790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "address_2": "BLDG A LOWER LEVEL",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-445-4835",
            "fax_number": "315-445-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "address_2": "BLDG A LOWER LEVEL",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-445-4835",
            "fax_number": "315-445-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANALSTYNE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009590",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.