Active NPI
Zekiel Vandernaalt, PT, DPT
- Physical Therapist
- Goodyear, AZ
National Provider Identifier
1609705243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-034733
- Practice address
- 264 S 165TH LN
Goodyear, AZ 85338-6010 - Phone
- (602) 550-5787
- NPI assigned
- May 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | LPT-034733 | AZ | Primary |
Addresses
Primary practice location
264 S 165TH LN
Goodyear, AZ 85338-6010
Mailing address
264 S 165TH LN
Goodyear, AZ 85338-6010
Phone (602) 550-5787
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-034733 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1609705243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 S 165TH LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853386010",
"telephone_number": "602-550-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 S 165TH LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853386010",
"telephone_number": "602-550-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERNAALT",
"first_name": "ZEKIEL",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-034733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
- Value Dental Centers Goodyear Az, LLC
- Aniesa Van Sickle
- Caitlin Vance, OTD, OTR/L
- Vanderbilt Farms Assisted Living LLC
- Kari Suzanne Vanderhei, P.T.
- Anna Vargas-Leveriza, PHD, LPC, LASAC
- Regina Lynn Vargas, PHARMACY TECHICIAN
- Clarence Jason Vastine, FNP-C
- Shannon Vaughan, MS, OTR/L
- Donna Marie Vaughn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.