Marijke Vandegoor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13609 Issued in FL

Practice address

733 Dunlawton Ave
Port Orange, FL 32127-4225

Phone

(386) 756-0077

NPI assigned

Feb 25, 2015

Last updated

Apr 8, 2021By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

74.5 of 100Reported as individual

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University Rehabilitation, LLC

  dba Premier Physical Therapy and Sports Medicine

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291
  Medicare reassignment NPD

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1255723334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 QUEEN ANNE CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748455",
            "telephone_number": "386-795-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274225",
            "telephone_number": "386-756-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEGOOR",
        "first_name": "MARIJKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Valero, DC
• Taylor R Vallejo, DC
• Jacqueline Van Overmeiren
• Hang Van, DMD
• Charles A Vance, DC
• Julie Vandyck
• Michelle Vann, PTA
• Caitlin Patricia Varga, M.A. CCC/SLP
• Christopher M Varnum, DC
• Shaji Varughese

• Physical Therapist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.