Taylor Lynne Sophia Vanders, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP037149T Issued in VA

Practice address

17507 Lee Hwy
Abingdon, VA 24210-7835

Phone

(276) 525-6043

NPI assigned

Nov 6, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1134942394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3562",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242933562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17507 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107835",
            "telephone_number": "276-525-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERS",
        "first_name": "TAYLOR",
        "middle_name": "LYNNE SOPHIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16142",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP037149T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul T. Umstott, D.D.S.
• United Home Medical Services
• Urology Center of Southwest Virginia, Inc.
• Lindsay Ussher, DO
• Michael R Valenza, AU.D., CCC-A
• Jill Denise Vandyke, FNP-BC
• Hugh Gregory Vanwinkle
• Courtney Varbanoff, DO
• Nathan Adam Varbanoff, D.O.
• Jordan Varney, BCBA

• Physical Therapist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.