Dana F Van Der Kieft, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5156 Issued in OR

Practice address

308 N Ivy St
Canby, OR 97013-3704

Phone

(503) 263-6786

Fax

(503) 263-6451

NPI assigned

Apr 20, 2006

Last updated

Oct 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential LLCGroup PAC ID 1850605312, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Potential, LLC

  dba Action Potential

  • Physical Therapy Clinic/Center
  • Glen Mills, PA
  • NPI 1831478692
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Canby Physical Therapy and Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Canby, OR
  • NPI 1992766612
  NPD (past)
• Erhardt Physical Therapy and Sports Medicine, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Scappoose, OR
  • NPI 1326110313
  NPD (past)
• New Proactive LLC

  dba ProActive Physical Therapy

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Physical Therapist

  NPD (past)
• Patrick J Gregg MD PC

  • Ophthalmology Physician
  • Canby, OR
  • NPI 1326348566
  NPD (past)
• Proactive Orthopedic and Sports Physical Therapy of Gresham LLC

  • Physical Therapy Clinic/Center
  • Gresham, OR
  • NPI 1467413179
  NPD (past)
• Proactive Orthopedic and Sports Physical Therapy of Oregon City LLC

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1760443477
  NPD (past)
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1003871120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52194",
            "address_2": "DEPT CODE 960",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722194",
            "telephone_number": "503-489-1781",
            "fax_number": "503-489-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N IVY ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133704",
            "telephone_number": "503-263-6786",
            "fax_number": "503-263-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER KIEFT",
        "first_name": "DANA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Tran
• Phat Q Tran, PA-C
• Trent B. Warren, M.D., P.C.
• Thomas Duncan Utterback, MD
• Valuecore Mental Health
• Natalie Kate Van Dreal
• Kelley Van Hook, PT, DPT
• Megan Vea, PT, DPT
• Clara Villalobos Andino
• Gabrielle Villasenor

• Physical Therapist in Canby, OR
• Providers in Canby, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.