Tiffany Vanderweele, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016919 Issued in MI

Practice address

820 John St
Kalamazoo, MI 49001-2870

Phone

(269) 341-6510

NPI assigned

Jul 9, 2015

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

Other names 1

• Tiffany Basore Former name

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1366825218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 GEZON PKWY SW",
            "address_2": "SUITE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012870",
            "telephone_number": "269-341-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWEELE",
        "first_name": "TIFFANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BASORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Sue Vanderlugt, R.N., IBCLC
• Lisa Vandermolen, DPT
• Carrie Vanderpol
• Tammy Vanderstelt
• Cynthia Vanderweele, LMSW
• Abbie Vanderwege, PHD
• Ina Vanderwerff
• Julie Vandeusen, PA
• Richard R. Vandonselaar, MA LPC
• Ariana M Vandyk

• Physical Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.