Vance Andrews McDonald Jr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1104180 Issued in TX

Practice address

1316 Hwy 16 S
Fredericksburg, TX 78624-5058

Phone

(830) 997-2001

Fax

(830) 997-0781

NPI assigned

Jul 12, 2005

Last updated

Mar 6, 2008By the provider in NPPES

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cole Physical Therapy IncGroup PAC ID 4183670441, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cole Physical Therapy Inc

  dba Sports Medicine & Physical Therapy

  • Physical Therapy Clinic/Center
  • Fredericksburg, TX
  • NPI 1255342093

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Revive Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Spicewood, TX
  • NPI 1942205679
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1518965656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786241906",
            "telephone_number": "830-997-2001",
            "fax_number": "830-997-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 HWY 16 S",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245058",
            "telephone_number": "830-997-2001",
            "fax_number": "830-997-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "VANCE",
        "middle_name": "ANDREWS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1104180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcey M Mattson
• Jennifer Kate Mayben, M.D.
• Gary Brent Mayes, M.D.
• Ericka Tisdale McBrine, DDS
• McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
• Donna Sue Lee McKellar, LPC
• Kenneth A McKellar Sr., LPC. PHD
• MD Integrative Health PLLC
• Dusti Lorraine Melucci, FNP-C
• Ralph George Menard Jr., MD

• Physical Therapist in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.