Susan W Van Volkenburg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19343 Issued in FL

Practice address

21065 Powerline Rd
Suite 2a
Boca Raton, FL 33433-2313

Phone

(561) 883-7800

Fax

(561) 883-7801

NPI assigned

May 9, 2007

Last updated

Jan 4, 2013By 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

Not listed in the public Medicare enrollment file

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.

• Senior Mobility, Inc.

  • Physical Therapist
  • Tucker, GA
  • NPI 1780890848
  NPD (past) Authorized official
• Florida Movement Therapy Center-Boca Raton, LLC

  • Geriatric Physical Therapist
  • Boca Raton, FL
  • NPI 1407118268
  NPD

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1316151707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW 6TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334864620",
            "telephone_number": "561-213-7572",
            "fax_number": "561-883-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21065 POWERLINE RD",
            "address_2": "SUITE 2A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332313",
            "telephone_number": "561-883-7800",
            "fax_number": "561-883-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VOLKENBURG",
        "first_name": "SUSAN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lynn Valz, PSYD
• Dale Wade Van Der Heever
• Ralph Victor Van Der Linde, PT
• Van Eye Optometry
• Van Pelt & Associates Physical Therapy Services PA
• John Van
• Vanderlinde Physical Therapy LLC
• Brooke Vanderzyl, DPT
• Laura Vanegas
• Helene Marie Vanheden

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.