Active NPI
Jorn Van Der Reijden
- Physical Therapist
- Tonasket, WA
National Provider Identifier
1497408058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 203 S Western Ave
Tonasket, WA 98855-8803 - Phone
- (509) 486-2151
- NPI assigned
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
203 S Western Ave
Tonasket, WA 98855-8803
Mailing address
203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-3144
Other practice location 1
1889 Knoll Dr
Ventura, CA 93003
Phone (805) 644-1591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1497408058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S WESTERN AVE",
"city": "TONASKET",
"state": "WA",
"postal_code": "988558803",
"telephone_number": "509-486-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S WESTERN AVE",
"city": "TONASKET",
"state": "WA",
"postal_code": "988558803",
"telephone_number": "509-486-2151"
}
],
"practiceLocations": [
{
"address_1": "1889 Knoll Dr",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "93003",
"country_code": "US",
"telephone_number": "805-644-1591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN DER REIJDEN",
"first_name": "JORN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tonasket, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.