Active NPI
Brooklyn Hope Vanderveer, LPTA
- Physical Therapy Assistant
- Lexington, VA
National Provider Identifier
1184371171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306604806
- Practice address
- 205 Donald LN
Lexington, VA 24450-2830 - Phone
- (540) 319-3662
- NPI assigned
- Mar 9, 2022
- Last updated
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306604806 | VA | Primary |
Addresses
Primary practice location
205 Donald LN
Lexington, VA 24450-2830
Mailing address
205 Donald LN
Lexington, VA 24450-2830
Phone (540) 319-3662
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306604806 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1184371171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 DONALD LN",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502830",
"telephone_number": "540-319-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 DONALD LN",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502830",
"telephone_number": "540-319-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERVEER",
"first_name": "BROOKLYN",
"middle_name": "HOPE",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306604806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, VA
- Linh Thi Tran, MD
- George R. Triplett, D.O.
- Marisa Sensabaugh Turpin, L.C.S.W.
- Cheryl Tutwiler
- Kiel Van Ness, LPC
- Gary Monroe Vaughan, D.D.S.
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 06325)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1335)
- Wal-Mart Stores East, LP (Vision Center 30-1335)
- Rose Wallace, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.