Courtney Dawn Vandervoort, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06026 Issued in KS

Practice address

9360 E Central Ave Ste 100
Wichita, KS 67206

Phone

(316) 636-4410

Fax

(316) 636-2400

NPI assigned

Sep 11, 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

Other names 1

• Mrs. Courtney Dawn Simon Former name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Movement Integrated Health Center LLCGroup PAC ID 3375702475, 2 clinicians

Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madisen.simpson.p9@direct.athleticoltd.nextgenshare.com
• Direct secure messaging: courtney.simon.p9@direct.athleticoltd.nextgenshare.com

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.

• Pure Movement Integrated Health Center LLC

  • Clinic/Center
  • Bonner Springs, KS
  • NPI 1669746574
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  • Physical Therapist
  • Liberty, MO
  • NPI 1114449857
  Medicare reassignment NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  KS

  Medicare reassignment NPD
• Exercise Therapy Consultants, Inc.

  • Physical Therapist
  • Belton, MO
  • NPI 1962414250
  Medicare reassignment
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Kelly M Svitak DC, LLC

  • Health Service Clinic/Center
  • Kirkwood, MO
  • NPI 1730495565
  NPD
• Novacare Outpatient Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Derby, KS
  • NPI 1952306938

  Physical Therapist

  NPD (past)
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Vinita, OK
  • NPI 1558377226
  NPD (past)
• Novacare

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1134307598
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1174006613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 E CENTRAL AVE STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062560",
            "telephone_number": "316-636-4410",
            "fax_number": "316-636-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 E CENTRAL AVE STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-636-4410",
            "fax_number": "316-636-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 W Greenway St",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670372641",
            "country_code": "US",
            "telephone_number": "316-788-6734",
            "fax_number": "316-788-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERVOORT",
        "first_name": "COURTNEY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SIMON",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Faye Vanburkleo
• Kate Elizabeth Vance, T-LMFT
• Trista Anne Vancuren, MD
• Sunshine Elizabeth Dawn Vanderboom, APRN
• Shelley Vanderhoofven
• Thane M Vaneaton
• Alexandra Nicole Vanechaute, LPC
• Peter S Vang, PA
• Dabria Celeste Vangieson, LMFT
• Robert M Vanmeter II, CRNA

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.