Organization Active NPI

Vlaar International Physical Therapy Inc

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1104925791
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VLAAR INTERNATIONAL PHYSICAL THERAPY INC
Practice address
1520 10TH Ave N Ste B
Lake Worth, FL 33460-2069
Phone
(561) 740-4555
Fax
(866) 248-3592
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Johannes M Vlaar, PTNPI 1063518603
Title
President
Phone
(561) 740-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1520 10TH Ave N Ste B
Lake Worth, FL 33460-2069

Mailing address

1520 10TH Ave N Ste B
Lake Worth, FL 33460-2069
Phone (561) 740-4555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janvlaar@viptherapy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001218 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668466566 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Worth Beach, FL

National Provider Directory

National Provider Directory

Locations

2240 W Woolbright Rd
Ste 346
Boynton Beach, FL 33426
Phone (561) 364-5600

3469 W Boynton Beach Blvd
Ste 11
Boynton Beach, FL 33436
Phone (561) 740-4555

1520 10th Ave N
Ste B
Lk Worth Bch, FL 33460
Phone (561) 586-2236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1104925791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 10TH AVE N STE B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602069",
            "telephone_number": "561-740-4555",
            "fax_number": "866-248-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 10TH AVE N STE B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602069",
            "telephone_number": "561-740-4555",
            "fax_number": "866-248-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLAAR INTERNATIONAL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "VLAAR",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-740-4555",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janvlaar@viptherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1520 10th Ave N Ste B",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334602069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.