DR. MARK HENRY VANDER HULST (DPT) – Physical Therapist, NPI 1417440033

DR. MARK HENRY VANDER HULST (DPT) is a healthcare provider. based in Lynden, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT60840347 (WA). The NPI Number for DR. MARK HENRY VANDER HULST (DPT) is 1417440033

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK HENRY VANDER HULST (DPT)
NPI
1417440033
Phone
(360) 354-1115
Address
8862 BENDER RD STE 101
Enumeration Date
8 June 2018
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603540585
Graduation Year
2018 (8 years ago)
PAC ID
0648529941
Group Practice PAC ID
2668465253
Professional Enrollment ID
I20180820003203
Address ID
WA982641729LY1824XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for DR. MARK HENRY VANDER HULST (DPT)

  • 101, Bender Road, Lynden, Whatcom County, Washington, 98264, United States

    LYNDEN, WA 982648800

    Phone: (360) 354-1115

    Fax: (360) 354-0321

    Type: Mailing

  • 1824 FRONT ST STE A

    LYNDEN, WA 982641729

    Phone: (360) 354-0585

    Fax: (360) 354-1098

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180820003203IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities2,36695$0
97140Therapy procedure using manual technique, each 15 minutes50667$0
97162Evaluation for physical therapy, typically 30 minutes8273$0
View full utilization report →

Insurance plans in this area (ZIP 98264)

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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: 2668465253View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

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Frequently asked questions

What unique ID ties claims to DR. MARK HENRY VANDER HULST (DPT)?
NPI 1417440033 is assigned to DR. MARK HENRY VANDER HULST (DPT) under the national enumeration system.
Is DR. MARK HENRY VANDER HULST (DPT) currently active in the NPI registry?
CMS-published data lists DR. MARK HENRY VANDER HULST (DPT) as an active registrant.
Can you summarize DR. MARK HENRY VANDER HULST (DPT)'s specialty in plain language?
Clinically, the directory lists DR. MARK HENRY VANDER HULST (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK HENRY VANDER HULST (DPT)?
The snapshot lists Lynden, Washington for DR. MARK HENRY VANDER HULST (DPT); download NPPES for the complete set.
What if Lynden, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.