Mark L Vandersnick, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

3545 S National Ave
Springfield, MO 65807-7310

Phone

(417) 269-5124

Fax

(417) 269-5508

NPI assigned

Apr 29, 2020

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1992326193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "417-269-5124",
            "fax_number": "417-269-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077310",
            "telephone_number": "417-269-5124",
            "fax_number": "417-269-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSNICK",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Brian Vance, D.D.S, M.S.
• Andrew Christian Vandas, PA-C
• Marcy Dee Vandeberg, MSW, LCSW
• Sydney Katherine Vandegrift, LCSW
• Grace Vander Ley
• Jennifer Vandivort
• Vane LLC
• Ashley Michelle Vanhorn, FNP-C
• Pamela Laroy Vann, MSW
• Brittany Vannostrand, LCSW

• Orthopedic Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.