Derek John Vangerwen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08865R Issued in LA

Practice address

8397 Highway 23
Suite 101
Belle Chasse, LA 70037-2648

Phone

(504) 398-2004

NPI assigned

Feb 18, 2013

Sex

Male

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 AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy South Liberty Park LLCGroup PAC ID 8729277611, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy South Liberty Park LLC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1730481029
  Medicare reassignment Care Compare group NPD
• Therapy South - Woodlawn LLC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1659036705
  Medicare reassignment NPD
• Therapy South Pell City, LLC

  • Physical Therapist
  • Pell City, AL
  • NPI 1801991880
  Medicare reassignment NPD
• Nesin Therapy Services, P.C.

  • Physical Therapy Clinic/Center
  • Madison, AL
  • NPI 1417021320
  NPD (past)
• Therapysouth Chelsea

  • Physical Therapist
  • Chelsea, AL
  • NPI 1528324589
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1386984094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8397 HIGHWAY 23",
            "address_2": "SUITE 101",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372648",
            "telephone_number": "504-398-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8397 HIGHWAY 23",
            "address_2": "SUITE 101",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372648",
            "telephone_number": "504-398-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGERWEN",
        "first_name": "DEREK",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08865R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Belle Chasse, LA
• Providers in Belle Chasse, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.