Brandon Lee Mack, D.P.T.
Physical Therapist · Kirksville, MO
Brandon Lee Mack, D.P.T. is a physical therapist with a practice address in Kirksville, Missouri, and NPI 1134188832, issued on Mar 21, 2006. Check the license (Missouri 2004021474, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Brandon Lee Mack
- Credential
- D.P.T.
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 2004021474 MO
Self-reported in NPPES; status is on the state search - Practice location
- Junction S. Hwy 63 & 6E, Kirksville, MO 63501
- Phone
- (660) 785-1834
- Enumerated
- Mar 21, 2006
- Record last updated
- Jul 13, 2026
- Medicaid ID
- 858341605 MO
- Medicare enrollment
- Enrolled (PECOS I20090724000179); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 4,540 in Missouri → Look up another NPI →
Verify Brandon Lee Mack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2004021474Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Brandon Lee Mack among 4,540 physical therapist records in Missouri
Brandon Lee Mack, D.P.T. is one of 4,540 physical therapist records with a practice address in Missouri. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 87% newer
- In a Medicare fileNo · 26% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated2004 · median 2017 among the 1,244 with a school on file
- Record last updated2026 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
21 physical therapist records list a practice address in Kirksville
They are 21 of the 713 NPPES records with a practice address in Kirksville, and 4,540 physical therapist records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,540 in Missouri → Every provider in Kirksville → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Jennifer Blanke, DPTKirksville, MO 635011245359512
- Ronald Danielson, MPT, MSKirksville, MO 635011659676674
- Brittany Eagen, DPTKirksville, MO 635011174041941
- Amy Fleshman, P.T.Kirksville, MO 635011750494399
- Kristen Gillette, OTR/L, DPTKirksville, MO 635011801075502
- Michelle GronemeyerKirksville, MO 635011114396900
- Jeremy Johnson, DPTKirksville, MO 635011972731305
- Roger Nettleton, M.A.Kirksville, MO 635011851429880
Common questions
What is Brandon Lee Mack, D.P.T.'s NPI number?
Brandon Lee Mack, D.P.T.'s National Provider Identifier (NPI) is 1134188832, issued on Mar 21, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Brandon Lee Mack, D.P.T. located?
The NPPES record lists a practice address at Junction S. Hwy 63 & 6E, Kirksville, MO, 63501. Phone: (660) 785-1834. Providers update this record themselves, so call before visiting.
How can I verify Brandon Lee Mack, D.P.T.'s license?
NPPES lists Missouri license number 2004021474, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.