Brandon Lee Mack, D.P.T.
NPI 1134188832ActiveIndividual· Physical Therapist· Kirksville, MO
Physical Therapist (D.P.T.) in Kirksville, Missouri, licensed in MO, with an NPI issued in March 2006. Medicare paid $101,816 for services to 106 patients in 2024.
Overview
| NPI | 1134188832 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T. |
| Sole proprietor | No |
| NPI issued | Mar 21, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2004021474 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 5,476 across 8 procedure codes |
| Paid by Medicare | $101,816 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 26 physical therapists in Kirksville · All physical therapists in Missouri