Alison Van Doren, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

99111686A Issued in IN

Practice address

2620 N Walnut St
Ste 1250
Bloomington, IN 47404-2008

Phone

(812) 558-0708

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1215676051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N WALNUT ST",
            "address_2": "STE 1250",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042008",
            "telephone_number": "812-558-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N WALNUT ST",
            "address_2": "STE 1250",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042008",
            "telephone_number": "812-558-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DOREN",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99111686A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Vail
• Karyn K Valentine, RD
• Erika Vallandingham, SLP
• Van Buren Township Fire Department
• Anthony Willem Van de Venter
• Alyssa Rose Van Duzer, PA-C
• Mary Van Kooten, MD
• Karen Vanarsdale, LCSW
• Paul Joseph Vandekoppel, MD
• Madeleine Jane Vandenbrink, MD

• Physical Therapist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.