Lauren Van Valkenburgh

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026744 Issued in IL

Practice address

110 W Woodstock St Ste B
Crystal Lake, IL 60014-4239

Phone

(815) 893-9075

NPI assigned

Jul 6, 2022

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

Practice roles

Interoperability endpoints

• Direct secure messaging: lauren.vanvalkengurgh.p9@direct.athleticoltd.nextgenshare.com
• Direct secure messaging: lauren.vanvalkengurgh.p7@direct.athleticoltd.nextgenshare.com

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.

• Roaming Rehab LLC

  • Physical Therapist
  • Lakewood, CO
  • NPI 1104421304
  NPD

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1407589526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 W VIRGINIA ST UNIT B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145936",
            "telephone_number": "805-729-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WOODSTOCK ST STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144239",
            "telephone_number": "815-893-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VALKENBURGH",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "026744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Upadhayay
• Urban Healing LTD.
• Faith Marie Urbanik, OTD, OTR/L
• Stephanie Lynn Vackicev, MA CCC-SLP
• Joy Ann Valko, PSYD
• Valerie Elizabeth Vandello, PT
• Sarah Vanmoffaert, LPC
• Amy Michelle Vanroekel, MSW
• Rosalyn Vasquez
• Chandragupta S Vedak, MD

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.