Daniel Mark Venhaus, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

147322 Issued in AK

Practice address

304 W Evergreen Ave Ste 101
Palmer, AK 99645-6970

Phone

(907) 745-8686

NPI assigned

Oct 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Fairbanks, AK
  • NPI 1619946530
  NPD (past)

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1073155099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672521",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995672521",
            "telephone_number": "316-435-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W EVERGREEN AVE STE 101",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456970",
            "telephone_number": "907-745-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENHAUS",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "147322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Surgical Associates, Inc
• Lorri Ann Van Diest, LPC
• Trevor Van Oostrom, M.D.
• Kerry Dean Vance, M.D.
• Erin Velander
• Sonia M Vent, PHYSICIAN ASSISTANT
• Victoria Vigue, PT, DPT, CLT
• Jennifer Gail Vinette, APRN
• Carla Lozano Vizzerra, DPT
• Vrom LLC

• Physical Therapy Assistant in Palmer, AK
• Providers in Palmer, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.