NPIMap

Organization Active NPI

Vanderlinde Physical Therapy LLC

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1407882640
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14974 Issued in FL
Legal business name
VANDERLINDE PHYSICAL THERAPY LLC
Practice address
9070 Kimberly Blvd
Suite 24
Boca Raton, FL 33434-2855
Phone
(561) 482-6900
Fax
(561) 482-6023
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Ralph Victor Van Der Linde, PTNPI 1790700433
Title
Directorowner
Phone
(561) 482-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT14974 FL Primary

Addresses

Primary practice location

9070 Kimberly Blvd
Suite 24
Boca Raton, FL 33434-2855

Mailing address

9070 Kimberly Blvd
Suite 24
Boca Raton, FL 33434-2855
Phone (561) 482-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160121002717 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648286088 Receives reassigned benefits from 7 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 23
Boca Raton, FL 33434
Phone (561) 477-3285

9070 Kimberly Blvd
Ste 2324
Boca Raton, FL 33434

2900 N Military Trl
Ste 241A
Boca Raton, FL 33431
Phone (561) 482-6900

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407882640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-482-6900",
            "fax_number": "561-482-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD",
            "address_2": "SUITE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342855",
            "telephone_number": "561-482-6900",
            "fax_number": "561-482-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERLINDE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAN DER LINDE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOROWNER",
        "authorized_official_telephone_number": "561-482-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.