Corey Ann Bader Vanderwouw, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23916 Issued in CA

Practice address

102 Catherine LN Ste a
Grass Valley, CA 95945-5701

Phone

(530) 478-1933

Fax

(530) 478-1937

NPI assigned

Dec 7, 2006

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 NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina Luna Care Physical Therapy LLCGroup PAC ID 8921418757, 66 clinicians

Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.15 of 100Reported as individual

Quality

80

Improvement activities

40

Cost

83.84

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 and National Provider Directory roles.

• Duke University Health System, Inc.

  • Certified Registered Nurse Anesthetist
  • Durham, NC
  • NPI 1558392977

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• North Carolina Luna Care Physical Therapy LLC

  • Physical Therapist
  • Hendersonville, NC
  • NPI 1124626148
  Medicare reassignment Care Compare group NPD
• Duke University Health System, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  NPD
• Deryke and Associates, Inc

  • Physical Therapist
  • Campbell, CA
  • NPI 1275690984
  NPD (past)
• Spring Hill Physical Therapy and Acupuncture

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1457443947
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1013076827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CATHERINE LN STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455701",
            "telephone_number": "650-465-1016",
            "fax_number": "530-478-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CATHERINE LN STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455701",
            "telephone_number": "530-478-1933",
            "fax_number": "530-478-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWOUW",
        "first_name": "COREY",
        "middle_name": "ANN BADER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Foot & Ankle Specialists
• Robin Elaine Van Cleave, LPCC
• David Dean Van Zant, PT DPT DCS
• Heather Jean Vance
• Jeremy Vance
• Jean Varda
• Burnell Vassar, M.D.
• Catheryn Vatuone, MFT
• Cassie Lynn Vaught
• Kalolaine T. Vavne Lavylo

• Physical Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.