Individual provider Active NPI

Aaron Jon Van Wieringen, DPT

  • Physical Therapist
  • Sedro Woolley, WA
National Provider Identifier
1407208044
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60650079 Issued in WA
Practice address
709 Cook Rd
Sedro Woolley, WA 98284-4341
Phone
(360) 873-8191
Fax
(360) 873-8196
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60650079 WA Primary

Addresses

Primary practice location

709 Cook Rd
Sedro Woolley, WA 98284-4341

Mailing address

110 N Laventure Rd
Suite a
Mount Vernon, WA 98273-3901
Phone (360) 428-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110002584 WA Practitioner - Physical Therapist in Private Practice 7911286141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Health Services IncGroup PAC ID 0446414403, 26 clinicians

Practice addresses (Care Compare)

3111 Newmarket St
Suite 101
Bellingham, WA 98226-8695
Phone (360) 354-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Health Services Inc. Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Apr 21, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Apr 21, 2021 Accepting new patients
Capstone Health Services Inc. Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients

Locations

3111 Newmarket St
Ste 101
Bellingham, WA 98226
Phone (360) 354-1115

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

110 N Laventure Rd
Ste A
Mount Vernon, WA 98273
Phone (360) 428-2700

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1407208044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N LAVENTURE RD",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733901",
            "telephone_number": "360-428-2700",
            "fax_number": "360-428-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 COOK RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844341",
            "telephone_number": "360-873-8191",
            "fax_number": "360-873-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WIERINGEN",
        "first_name": "AARON",
        "middle_name": "JON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60650079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.