Individual provider Active NPI

Tessa Van'T Hof, PT. DPT

  • Physical Therapist
  • Clanton, AL
National Provider Identifier
1093566036
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033336 Issued in AZ
Practice address
57 County Rd 861
Clanton, AL 35045
Phone
(205) 299-2440
NPI assigned
Mar 28, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033336 AZ Primary
Physical Therapist 225100000X 2305216574 VA

Addresses

Primary practice location

57 County Rd 861
Clanton, AL 35045

Mailing address

1010 N 102ND St Ste 300
Omaha, NE 68114-2122

Other practice location 1

4421 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-3114
Phone (757) 932-2390

Other practice location 2

4668 Pembroke Blvd Ste 115A
Virginia Beach, VA 23455-6423
Phone (757) 648-8562

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

State licenses

LicenseStateTypeSpecialty
033336AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

4421 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Phone (757) 932-2390

4668 Pembroke Blvd
Ste 115
Virginia Beach, VA 23455
Phone (757) 648-8562

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1093566036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 102ND ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 COUNTY RD 861",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35045",
            "telephone_number": "205-299-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Virginia Beach Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623114",
            "country_code": "US",
            "telephone_number": "757-932-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4668 Pembroke Blvd Ste 115A",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556423",
            "country_code": "US",
            "telephone_number": "757-648-8562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN'T HOF",
        "first_name": "TESSA",
        "credential": "PT. DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "033336",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.