Michelle Vann, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTAT25762 Issued in FL

Practice address

1525 Herbert St
Port Orange, FL 32129-6106

Phone

(386) 756-0424

NPI assigned

Jul 10, 2015

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": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1114301033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BENT OAK DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275979",
            "telephone_number": "386-299-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HERBERT ST",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296106",
            "telephone_number": "386-756-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTAT25762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Van Overmeiren
• Hang Van, DMD
• Charles A Vance, DC
• Marijke Vandegoor
• Julie Vandyck
• Caitlin Patricia Varga, M.A. CCC/SLP
• Christopher M Varnum, DC
• Shaji Varughese
• Michelle Velez
• Amy Veltri

• Physical Therapy Assistant in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.