Stefanus JH Van Duursen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5012 Issued in CO

Practice address

1385 S Colorado Blvd Ste A620
Denver, CO 80222-3375

Phone

(303) 691-3733

Fax

(303) 691-1142

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Spine Therapy LLCGroup PAC ID 6608961677, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Colorado Spine Therapy, LLC

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1679766984
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1023186137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 S COLORADO BLVD STE A620",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223375",
            "telephone_number": "303-691-3733",
            "fax_number": "303-691-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S COLORADO BLVD STE A620",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223375",
            "telephone_number": "303-691-3733",
            "fax_number": "303-691-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 E Mexico Ave",
            "address_2": "Suite 210, Centerpoint 1",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802103940",
            "country_code": "US",
            "telephone_number": "303-691-3733",
            "fax_number": "303-691-1142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DUURSEN",
        "first_name": "STEFANUS",
        "middle_name": "JH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09924566",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Edward Van de North, LPC
• Rain T Van Den Berg, MPH
• Tiffany Baucum Van Deren, LPC
• John A Van Doorninck, MD
• Lauren Elizabeth Van Dorn, LPC, MAFP
• Kristine Anne Van Dyke, NP
• Alexa Van Epern
• Mariah Van Eps
• Zachary Van Eps, MA, LPC, NCC
• Brittney Ann Van Gent, AU.D.

• Physical Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.