Livia M Vanloo, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4933 Issued in OR

Practice address

56881 Enterprise Drive
Sunriver, OR 97707

Phone

(541) 593-8535

Fax

(541) 593-0316

NPI assigned

Jul 14, 2006

Last updated

Sep 21, 2009By the provider in NPPES

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 names 1

• Livia M Boyd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8698/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Works, Inc

  • Physical Therapist
  • Redmond, OR
  • NPI 1740031285
  NPD
• High Desert Therapy Associates Inc

  dba La Pine Physical Therapy

  • Physical Therapy Clinic/Center
  • Sunriver, OR
  • NPI 1871569764
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1508882515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 PROVIDENCE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-318-6278",
            "fax_number": "541-593-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56881 ENTERPRISE DRIVE",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "97707",
            "telephone_number": "541-593-8535",
            "fax_number": "541-593-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLOO",
        "first_name": "LIVIA",
        "middle_name": "M",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIVIA",
            "last_name": "BOYD",
            "middle_name": "M",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Philip Smith, LPC
• Sunriver Pharmacy
• Sunriver Service District
• Mercedes Dawn Taylor, LMT
• Therapeutic Associates Inc (TAI - Sunriver)
• Eric D Walberg, PT
• Cari Nicole Welch, LPC

• Physical Therapist in Sunriver, OR
• Providers in Sunriver, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.