Individual provider Active NPI

Erik Van Dijk, PT

  • Physical Therapist
  • Steubenville, OH
National Provider Identifier
1144265166
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4148 Issued in OH
Practice address
320 S Hollywood Blvd
Steubenville, OH 43952-2423
Phone
(740) 264-5559
Fax
(740) 264-5355
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4148 OH Primary

Addresses

Primary practice location

320 S Hollywood Blvd
Steubenville, OH 43952-2423

Mailing address

320 S Hollywood Blvd
Steubenville, OH 43952-2423
Phone (740) 264-5559

Other identifiers 2

IdentifierTypeStateIssuer
0848113MedicaidOH
341640963-00OtherOHWORKERS COM

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
4148OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Van Dijk Physical Therapist PastSince Mar 1, 1991 Accepting new patients
Erik Van Dijk PastSince Mar 1, 1991 Accepting new patients
Erik Van Dijk PastSince Mar 1, 1991 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1144265166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S HOLLYWOOD BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522423",
            "telephone_number": "740-264-5559",
            "fax_number": "740-264-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S HOLLYWOOD BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522423",
            "telephone_number": "740-264-5559",
            "fax_number": "740-264-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DIJK",
        "first_name": "ERIK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "4148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848113",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COM",
            "identifier": "341640963-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.