Mark Van Dam, PT
NPI 1588904387 · Physical Therapist · Phoenix, AZ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Van Dam, PT is a Physical Therapist provider in Phoenix, AZ (NPI 1588904387).
Provider details
- NPI number
- 1588904387
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- LPT-003187 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-15
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Frequently asked questions
- What is Mark Van Dam's NPI number?
- Mark Van Dam's National Provider Identifier (NPI) is 1588904387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Van Dam's specialty?
- Mark Van Dam is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mark Van Dam located?
- Mark Van Dam's practice location on file with NPPES is 755 E Mcdowell Rd, Phoenix, AZ 85006-2506.
- What is Mark Van Dam's phone number?
- The practice phone number listed in the NPPES registry for Mark Van Dam is (480) 210-6556.
- Does Mark Van Dam accept Medicare?
- Mark Van Dam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Van Dam's NPI active?
- Yes — Mark Van Dam's NPI (1588904387) is active in the NPPES registry as of the last update on 2025-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.