Philip Joseph Verstegen

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT2066 Issued in WI

Practice address

641 Swift Ave # 116
Sheboygan, WI 53081-6039

Phone

(920) 226-8022

NPI assigned

Aug 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1205020682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 SWIFT AVE # 116",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816039",
            "telephone_number": "920-226-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 SWIFT AVE # 116",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816039",
            "telephone_number": "920-226-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSTEGEN",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 5290",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "PT2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Ver Velde
• Abby Vercio, M.D.
• Jean Allen Edquiban Verdaguer
• Neal Walter Verhulst
• Veritas Clinical Group, LLC
• Jamie Vick, OTR
• Tina L Videtic, APRN, BC
• Lynn Casey Villani, P.T.
• Vincent a Graser
• Michelle Vine, PT

• Physical Therapy Clinic/Center in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.