Douglas Vanacker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7651 Issued in FL

Practice address

17419 Bridge Hill CT
Tampa, FL 33647-3599

Phone

(813) 907-7879

Fax

(813) 994-3080

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Rehab Point Inc

  • Physical Therapist
  • Zephyrhills, FL
  • NPI 1700947645
  NPD (past)
• Restore Therapies, LLC

  dba Restore Physical Therapy and Wellness

  • Physical Therapist
  • Tampa, FL
  • NPI 1962505149
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1134496318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 110",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134657",
            "telephone_number": "813-907-7879",
            "fax_number": "813-994-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17419 BRIDGE HILL CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473599",
            "telephone_number": "813-907-7879",
            "fax_number": "813-994-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANACKER",
        "first_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT7651",
            "identifier": "PT7651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor L Van Warner, AUD
• CHI Van, PA-C
• David Van, D.O.
• Trang Van
• Karen Theresa Van'Es, MHC
• Brian Todd Vanaelst, D.M.D., M.S.
• Vanallen & Associates, Inc.
• Frederick A Vance, DDS
• Vancorp Holdings, Inc. (Cerna HomeCare of Tampa)
• Reese Vandeboe, RBT

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.