MR. MARK ANDREW VAN DAM PT
NPI 1588904387
Physical Therapist in Phoenix, AZ
About Mr. Mark Andrew Van Dam Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK ANDREW VAN DAM PT (NPI 1588904387) is an individual physical therapist in Phoenix, Arizona, licensed in Arizona (LPT-003187) and active in the NPI registry since February 2013.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Mark Andrew Van Dam Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Van Dam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 349 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85006
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Van Dam's NPI number?
The NPI number for Mark Van Dam is 1588904387. It was assigned to this individual provider in the NPPES registry on February 15, 2013.
Where is Mark Van Dam located?
Mark Van Dam practices at 755 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (480) 210-6556.
What is Mark Van Dam's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mark Van Dam enrolled in Medicare?
Yes. Mark Van Dam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Van Dam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Van Dam reassigns Medicare benefits to Bhsm Rehabilitation, LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Van Dam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Van Dam accept?
Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Mark Van Dam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Van Dam was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.