Cody Vankerschaever, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29867 Issued in FL

Practice address

950 S Mellonville Ave
Sanford, FL 32771-2237

Phone

(407) 322-8566

NPI assigned

Dec 21, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1477192425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 OAKWOOD CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031579",
            "telephone_number": "407-509-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MELLONVILLE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712237",
            "telephone_number": "407-322-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKERSCHAEVER",
        "first_name": "CODY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaria Valentino
• Natalia Van Reenen, PA-C
• Ha Thi Van, DC
• Michelle M Vance, MSW
• Julie L Vanderveen, PT
• Biju Varghese, APRN
• Amanda Elizabeth Vaughan Perez, PHARMD
• Nelivette Vazquez Rivera
• Gabriela Andrea Vazquez, DC
• Jorge Vazquez, MD

• Physical Therapy Assistant in Sanford, FL
• Providers in Sanford, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.