Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Reid Vandemark, PT, ATC, CSCS

Individual provider Physical Therapist · NPI 1316166960

Mr. Kenneth Reid Vandemark, PT, ATC, CSCS is a Physical Therapist in Langhorne, Pennsylvania. Practices as a sole proprietor. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

10 Tupelo Ln
Langhorne, PA 19047-3406
Phone: (215) 752-2159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT002679-L (PA)
Physical Therapist Taxonomy 225100000X · Licence 40QA00109000 (NJ)

Record details

NPI number1316166960
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC , CSCS
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESJuly 8, 2007

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