Vincent Van Haute, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3860 Issued in NE

Practice address

12309 W Maple Rd
Omaha, NE 68164-1865

Phone

(402) 607-8820

NPI assigned

Jun 25, 2018

Last updated

Mar 3, 2026By the provider in NPPES

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)

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.

• Forward Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Omaha, NE
  • NPI 1083313563
  NPD Authorized official

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1063907814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 LARIMORE AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646128",
            "telephone_number": "402-676-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 W MAPLE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641865",
            "telephone_number": "402-607-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HAUTE",
        "first_name": "VINCENT",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annetta Frances Van Every
• Terry John Van Gelder, LMT
• Catherine Ann Van Gestel, RN, BSN, IBCLC
• Riley Van Ginkel
• Cathy Van Haute, OTR/L
• William Van Hook
• Christina M Van Horn, MD
• Brenda Kay Van Houten
• Daniel Van Kalsbeek, DO
• Alex Michael Van Kooten-Tharman, O.D.

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.