Individual provider Active NPI

Joshua Vander Werff

  • Physical Therapy Assistant
  • Greenwood Village, CO
National Provider Identifier
1548668437
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0013470 Issued in CO
Practice address
7375 E Orchard Rd
200
Greenwood Village, CO 80111-2569
Phone
(303) 773-0771
NPI assigned
Dec 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0013470 CO Primary
Physical Therapy Assistant 225200000X 9879 CA

Addresses

Primary practice location

7375 E Orchard Rd
200
Greenwood Village, CO 80111-2569

Mailing address

7375 E Orchard Rd
200
Greenwood Village, CO 80111-2569

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0013470COMDPhysical Therapy Assistant
9879CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1548668437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 E ORCHARD RD",
            "address_2": "200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 E ORCHARD RD",
            "address_2": "200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112569",
            "telephone_number": "303-773-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER WERFF",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013470",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.