MR. MARK C BUCKINGHAM (M.S.P.T.) – Physical Therapist, NPI 1578583183

Physical Therapist

MR. MARK C BUCKINGHAM (M.S.P.T.) is a healthcare provider. based in Overland park, Kansas. specializing in Physical Therapist. They hold the professional credentials M.S.P.T.. They hold a License No. 11-03234 (KS). The NPI Number for MR. MARK C BUCKINGHAM (M.S.P.T.) is 1578583183

Main info

Male

24 Years Of Experience

Accepts Medicare Assignment

Name

MR. MARK C BUCKINGHAM (M.S.P.T.)

NPI

1578583183

Phone

(913) 681-9909

Address

11408 W 135TH ST

Enumeration Date

20 July 2006

Last Update Date

24 September 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9136819909

Graduation Year

2002 (24 years ago)

PAC ID

1153325253

Group Practice PAC ID

5193729291

Professional Enrollment ID

I20060901000261

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. MARK C BUCKINGHAM (M.S.P.T.)

11408, West 135th Street, Overland Park, Johnson County, Kansas, 66221, United States
OVERLAND PARK, KS 662219398
Phone: (913) 681-9909
Fax: (913) 681-9906
Type: Location
15415, Newton Drive, Country Oaks, Stanley, Overland Park, Johnson County, Kansas, 66223, United States
OVERLAND PARK, KS 662232847
Phone: (913) 706-6564
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66221)

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Provider's Procedures

MR. MARK C BUCKINGHAM (M.S.P.T.) performs procedures in Physical Therapist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICAL THERAPY	KS	97001	Physical therapy evaluation	21	19

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5193729291View full group profile

Name	Specialty	State
ANDREW DEBOEST (DPT)	Physical Therapist In Private Practice	KS
BRIAN T. BOERNER (PT)	-	KS
MRS. LISA C SCHMIDT (OTR)	-	KS
JENNIFER L FAST (PT)	Physical Therapist In Private Practice	IL
ALISON PARKS	-	KS
MRS. SUE A. KLEIN (P.T.)	-	MO

Reviews

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Frequently asked questions

How is MR. MARK C BUCKINGHAM (M.S.P.T.) identified in CMS data?

CMS-hosted NPPES data lists MR. MARK C BUCKINGHAM (M.S.P.T.) with NPI 1578583183.

Does CMS list MR. MARK C BUCKINGHAM (M.S.P.T.) as active?

Yes — MR. MARK C BUCKINGHAM (M.S.P.T.) is active in the NPI listing used on this page.

What taxonomy line describes MR. MARK C BUCKINGHAM (M.S.P.T.)?

For research purposes, treat MR. MARK C BUCKINGHAM (M.S.P.T.) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect MR. MARK C BUCKINGHAM (M.S.P.T.) on a map?

Expect Overland Park, Kansas as a primary anchor for MR. MARK C BUCKINGHAM (M.S.P.T.) unless the record lists multiple sites.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.