Kristen Lane Vanderwijst, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207113 Issued in VA

Practice address

4701 Spotsylvania Pkwy Ste 106
Fredericksburg, VA 22407-9435

Phone

(540) 710-0100

Fax

(540) 710-5333

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusion Physiotherapy Associates LLCGroup PAC ID 5092093575, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fusion Physiotherapy Associates LLC

  • Physical Therapist
  • Fredericksburg, VA
  • NPI 1730530213
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1144727934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 HARRIS MILL CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081890",
            "telephone_number": "757-374-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY STE 106",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-710-0100",
            "fax_number": "540-710-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWIJST",
        "first_name": "KRISTEN",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robyn A Van Brunt, PH.D.
• Kelly Elaine Vandivert, LPC
• Alfreda Mayeni Vandy, RBT
• Veena N Vangani, MD
• Linda Elizabeth Vanputte, LCSW
• Vantage Professional Solutions

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.