Douglas Van Dusen, PT, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT24994 Issued in CA

Practice address

851 Gray Ave
Yuba City, CA 95991-3652

Phone

(530) 632-1707

Fax

(530) 751-9035

NPI assigned

Aug 15, 2013

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Dusen Physical Therapy IncGroup PAC ID 3779843719, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.79 of 100Reported as individual

Quality

90

Improvement activities

40

Cost

72.65

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Dennis Christensen, DPT

  • Physical Therapist
  • Yuba City, CA
  • NPI 1215187216
  Medicare reassignment
• Trevor Scott Michael Stoehr, DPT, CSCS

  • Physical Therapist
  • Yuba City, CA
  • NPI 1770001679
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Van Dusen Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Yuba City, CA
  • NPI 1699281162
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1225461072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-671-8378",
            "fax_number": "530-660-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913652",
            "telephone_number": "530-632-1707",
            "fax_number": "530-751-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT24994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uppers LLC (The Fountains)
• Misty Utter, MFTI
• Enoc Valderrama
• Lidia Valdizon, MASSAGE THERAPIEST
• Van Dusen Physical Therapy Inc
• Nathaniel Van Dusen, PT, DPT
• Lea Van Zyl, B.PHARM MS
• Holly Vanduzer, LEP
• Casey Nalie Vang
• John Vang, D.C.

• Sports Physical Therapist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.