Elyse Vanderkamp

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501019222 Issued in MI

Practice address

1401 W Main St
Fremont, MI 49412-1486

Phone

(231) 924-3185

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1255908976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8699 FLAT CREEK DR UNIT I",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418944",
            "telephone_number": "616-438-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W MAIN ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121486",
            "telephone_number": "231-924-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKAMP",
        "first_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501019222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kathryn Thrower, C.N.M.
• Truenorth Community Services
• Lucy Tyrer Chargot, BS PHARM
• Katie Ann Van Heck, CNM
• April N Vanbeek, COTA/L
• Arie J. Vanderweide, D.O.
• Laina M Vankoevering, D.C.
• Timothy A Vankoevering, DC
• Beth Ann Vantreese, PT
• Jim Charles Vantreese, PH.D

• Orthopedic Physical Therapist in Fremont, MI
• Providers in Fremont, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.