Jennifer Nicole Van Zandbergen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-16294 Issued in OH

Practice address

7840 Graphics Way
Lewis Center, OH 43035-8002

Phone

(740) 657-4050

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1073166203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 OSWALD ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818083",
            "telephone_number": "330-858-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 GRAPHICS WAY",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358002",
            "telephone_number": "740-657-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ZANDBERGEN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-16294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Traut
• Lacy Triplett, RN
• Triumph Home Health Care LLC
• Nicole Valot
• Allison Van Fossen, DPT
• Rachel Varcho, LPCC-S
• Nikki Marie Ventura, OTR/L
• Shannon Vera
• Vision Professionals
• Carter Wescott Wade

• Physical Therapist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.