Jacqueline May Vance

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206929 Issued in VA

Practice address

4850 31St St S Ste B
Arlington, VA 22206-1661

Phone

(703) 527-8446

NPI assigned

Sep 9, 2021

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

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1356010631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 ERMAN ST",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153516",
            "telephone_number": "703-568-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 31ST ST S STE B",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061661",
            "telephone_number": "703-527-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JACQUELINE",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valere Therapy Collective PLLC
• Alexandra Rose Van Hook, FNP
• Ernst John Van Koetsveld, DPT
• Victoria Van Leeuwen
• Angelica Van Wagenen, PSY.D.
• John Clair Vance, MD
• Nicole Vanderwerker, DPT
• Allison Vanoverberghe
• Nicole Varbedian
• Elizabeth Moreno Varela, LICSW

• Physical Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.