Elizabeth Van Varick, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT012056 Issued in GA

Practice address

1000 Holcomb Woods Pkwy
Suite 422
Roswell, GA 30076-2575

Phone

(770) 641-8070

NPI assigned

Sep 25, 2015

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

Other names 1

• Dr. Elizabeth Saint John Former name

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 and National Provider Directory roles.

• Premier Childrens Therapy Center

  • Physical Therapist
  • Roswell, GA
  • NPI 1649462961

  Pediatrics

  NPD (past)
• Van Varick Pediatric Physical Therapy

  • Pediatric Physical Therapist
  • Roswell, GA
  • NPI 1821464124

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1154791739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 LAKE CHARLES DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY",
            "address_2": "SUITE 422",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762575",
            "telephone_number": "770-641-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VARICK",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT012056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SAINT JOHN",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Value in Prevention of Georgia Roswell LLC
• Monica Renee Van Deventer, MS, NCC
• Mary Katherine Van Heel, PT, DPT
• Christine Elizabeth Van Looy, RN, APRN
• Van Varick Pediatric Physical Therapy
• Kevin Dat Van, DPT
• Vanbuskirk Counseling LLC
• Leigh Vanderels
• Laura Lee Vanderheijden, MS, CCC-SLP
• Andrea Reeves Vandervort, OTR

• Pediatric Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.