Sharon L Vander Ark, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3908 Issued in WI

Practice address

210 Wisconsin American Dr
Fond Du Lac, WI 54935-2999

Phone

(920) 907-7000

NPI assigned

Mar 27, 2007

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

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417075698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W4267 PHEASANT RUN",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358593",
            "telephone_number": "920-948-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WISCONSIN AMERICAN DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352999",
            "telephone_number": "920-907-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER ARK",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40309900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura B Van Why, MD
• Donald F Vanbeek, M.D.
• James G Vanbommel, CRNA
• Deborah Ann Vande Zande, APNP
• Linda Vande Zande, CCC-SLP
• Michael J Vander Kooy, M.D.
• Kelly Vanderloop
• Rebecca Vanderloop
• Krissy K Vang, REGISTERED NURSE
• Rebecca Eve Varebrook, M.D.

• Physical Therapist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.