Katherine Van Deveire, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009143 Issued in CT

Practice address

843 Bolton Rd
Unit 1249
Storrs, CT 06269-1249

Phone

(860) 486-8080

Fax

(860) 486-8081

NPI assigned

Jul 11, 2011

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Integrated Rehabilitation Services Limited Partnership

  • Physical Therapist
  • Vernon, CT
  • NPI 1346969532
  NPD (past)
• Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
  • NPI 1104867951
  NPD (past)
• University of Connecticut

  dba Nayden Rehabilitation Clinic

  • Physical Therapy Clinic/Center
  • Storrs Mansfield, CT
  • NPI 1639225410
  NPD (past)
• University of Connecticut Student Health and Wellness

  • Student Health Clinic/Center
  • Storrs Mansfield, CT
  • NPI 1629097043
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1376831438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 BOLTON RD",
            "address_2": "UNIT 1249",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691249",
            "telephone_number": "860-486-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 BOLTON RD",
            "address_2": "UNIT 1249",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691249",
            "telephone_number": "860-486-8080",
            "fax_number": "860-486-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEVEIRE",
        "first_name": "KATHERINE",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "009143",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Connecticut (University of Connecticut Speech & Hearing Clinic)
• University of Connecticut (Counseling and Mental Health Services)
• University of Connecticut (UConn Student Health Lab)
• University of Connecticut-Division of Public Safety
• Denise B Van Der Voort, MA
• Katharine Nicole Vardanian, MSN, APRN, FNP-BC
• Claire E Verdier, APRN
• Tamara Jane Vertefeuille, L.C.S.W.
• Jeremy Vigneault, PT
• Erika Lindsey Vuernick, PHARM.D

• Physical Therapist in Storrs, CT
• Providers in Storrs, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.