Kevin Jeffrey Van Vleet, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60660135 Issued in WA

Practice address

3121 W Kennewick Ave
Kennewick, WA 99336-2921

Phone

(509) 735-7433

Fax

(509) 735-6577

NPI assigned

Nov 23, 2016

Sex

Male

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 WA

Enrollment records 1

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 and National Provider Directory roles.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Kent, WA
  • NPI 1750010120
  Medicare reassignment NPD
• Remedy Urgent Mobile Medicine PLLC

  • Urgent Care Clinic/Center
  • Kennewick, WA
  • NPI 1770068280
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1316480304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362921",
            "telephone_number": "509-735-7433",
            "fax_number": "509-735-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W KENNEWICK AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362921",
            "telephone_number": "509-735-7433",
            "fax_number": "509-735-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VLEET",
        "first_name": "KEVIN",
        "middle_name": "JEFFREY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60660135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ninfa A Valenzuela, CDPT
• Christian Lili Valladares Mendoza, SC61510017
• Kiran Kumar Vallam, M.D.
• Sully Valle
• Krista Layne Van Nostern, PHARMD
• David Van-Thai, MD
• David Cecil Vancorbach, SUDPT
• Christina Vandergaag, PTA
• Bailey Ann Vandervert
• Tanya Vanham

• Physical Therapist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.