Trent Sebastian Vandevort, PT, DPT, LAT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032085 Issued in PA

Practice address

3200 S Water St
Pittsburgh, PA 15203-2307

Phone

(844) 977-2027

NPI assigned

Aug 28, 2020

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1336752484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 LA RAY DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011425",
            "telephone_number": "724-496-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032307",
            "telephone_number": "844-977-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVORT",
        "first_name": "TRENT",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-03-06",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032085",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT008130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trent.s.vandevort@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Vanderveen
• Royce J. Vandervort, CRNA
• Robert Vanderweele
• Marjke Vanderzee
• Reed William Vandeusen, MD
• Lindsey Vandling
• Molly M Vandora
• Tyler John Vandyck, M.D.
• Lily Vandyk
• Stevie Marie Vaneck

• Physical Therapist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.