Andrew Vander Zwaag

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-025935 Issued in IL

Practice address

1450 Busch Pkwy Ste 115a
Buffalo Grove, IL 60089-4541

Phone

(224) 676-7960

Fax

(224) 676-7994

NPI assigned

Jun 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Training and Rehab LLCGroup PAC ID 2961487475, 29 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.

• Advanced Training and Rehab LLC

  • Physical Therapist
  • Chesterfield, MO
  • NPI 1174576045
  Medicare reassignment Care Compare group NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  NPD (past)
• Foothills Sports Medicine and Rehabilitation, LLC.

  dba Foothills Sports Medicine & Rehabilitation - Arrowhead, Inc

  • Physical Therapist
  • Peoria, AZ
  • NPI 1851490866
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1013577865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BUSCH PKWY STE 115A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894541",
            "telephone_number": "224-676-7960",
            "fax_number": "224-676-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER ZWAAG",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "TBD",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-025935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Unger, MD
• United Mobile Services Inc.
• Uropartners, LLC
• Sheena Angela R Vallesterol
• Jaclyn Elizabeth Van Grinsven, ATC, PT, DPT
• Vansh Chiropractic Inc
• Jillka Vansh, D.C.
• Alvaro E. Vargas, D.D.S.
• John Ronald Vaselaney, DDS
• Berenice Velasquez

• Physical Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.