Ann Van Herck, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 16029 Issued in FL

Practice address

1901 Mason Ave Ste 105
Daytona Beach, FL 32117

Phone

(386) 238-9074

Fax

(386) 238-9075

NPI assigned

Aug 22, 2016

Last updated

Jul 27, 2018By 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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Greater Daytona Physical Therapy

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1922841840
  Medicare reassignment NPD Authorized official
• Physio Med Inc

  • Rehabilitation Clinic/Center
  • Eustis, FL
  • NPI 1720096720
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1316492135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 BAYTREE CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321283747",
            "telephone_number": "386-238-9074",
            "fax_number": "386-238-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MASON AVE STE 105",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-238-9074",
            "fax_number": "386-238-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HERCK",
        "first_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 16029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel L Valin, M.D.
• Stefanie M Vallancourt, DO
• Amira Valle
• Caitlyn Vallee
• Jesse Van Gampelaere
• Michel Van Thielen, PT, AP, OMD
• Kara Van Zandt
• Cathryn Elizabeth Vanbrackle, PSY.D.
• Vanderhoof Vitality, LLC
• Anne Bowden Vanderlaan, MSW

• Physical Therapist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.