Christina M Van Der Vliet, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02305000 Issued in NJ

Practice address

249 S Main St
Barnegat, NJ 08005-2368

Phone

(609) 607-0555

Fax

(609) 607-0178

NPI assigned

Jan 7, 2025

Last updated

Jan 7, 2025By the provider in NPPES

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riptide Physical Therapy IncGroup PAC ID 1850312083, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Riptide Physical Therapy, Inc

  • Physical Therapist
  • Barnegat, NJ
  • NPI 1376576363
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1275342818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052368",
            "telephone_number": "609-607-0555",
            "fax_number": "609-607-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052368",
            "telephone_number": "609-607-0555",
            "fax_number": "609-607-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER VLIET",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02305000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Three Roots Integrative Psychiatric Center
• Lauren Tribley, ATC
• Domenick Trimarco
• Kelsey Turczmanovicz
• Laura L Urciuoli, MSW, LCSW
• Thomas Vangi, D.C.
• Salvatore Velez, PHARMACIST
• Jennifer Vickery, PT
• Paige Virgin, AS
• Marissa Lynn Volinsky, LPC

• Physical Therapist in Barnegat, NJ
• Providers in Barnegat, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.