Individual provider Active NPI

Victoria Lynn Vanhorn, MS, PT

  • Physical Therapist
  • Marysville, WA
National Provider Identifier
1053431288
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010392 Issued in WA
Practice address
9516 State Ave
Ste B
Marysville, WA 98270-2277
Phone
(360) 658-8857
Fax
(360) 629-7632
NPI assigned
Mar 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00010392 WA Primary

Addresses

Primary practice location

9516 State Ave
Ste B
Marysville, WA 98270-2277

Mailing address

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone (360) 629-7528

Other names 1

  • Victoria Lynn McCord Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1053431288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-7528",
            "fax_number": "360-629-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9516 STATE AVE",
            "address_2": "STE B",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702277",
            "telephone_number": "360-658-8857",
            "fax_number": "360-629-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MCCORD",
            "middle_name": "LYNN",
            "credential": "MS, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.