Micheal Scott Vandenhul, LAT, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

088131 Issued in IA

Practice address

204 E Charles St
Oelwein, IA 50662-1940

Phone

(319) 283-2002

Fax

(319) 283-2015

NPI assigned

Feb 12, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Performance Rehab LLC

  • Physical Therapist
  • Oelwein, IA
  • NPI 1811052350
  NPD

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1033924394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHARLES ST",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621940",
            "telephone_number": "319-283-2002",
            "fax_number": "319-283-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHARLES ST",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621940",
            "telephone_number": "319-283-2002",
            "fax_number": "319-283-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENHUL",
        "first_name": "MICHEAL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "088131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Strabala, DDS
• Elaina Bingham Toenjes, NURSE PRACTITIONER
• Total Family Wellness
• Justin Dixon Trainor, MSPT
• Keith James Valesh, DDS
• Rachel Anne Vos, PT, DPT
• Kelly Walvatne, PHARM. D
• John Conrad Weber, D.P.M.
• Karlee K Weidemann, DC
• Danielle Jane Wendel, PNP

• Athletic Trainer in Oelwein, IA
• Providers in Oelwein, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.