Peter C Vandoren, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL-8652 Issued in CO

Practice address

9777 S Yosemite St
Ste 110
Lone Tree, CO 80124-3191

Phone

(303) 333-3493

Fax

(303) 792-2405

NPI assigned

Oct 14, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1649269432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST",
            "address_2": "STE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "303-333-3493",
            "fax_number": "303-792-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST",
            "address_2": "STE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "303-333-3493",
            "fax_number": "303-792-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDOREN",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL-8652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poojitha Valasareddy, MD
• Ronald Francisco Valdivieso, MD
• Lana Lynn Van Egeren, LCSW
• Kristy Vance
• Aria Nhuy Hoang Vandenbush, DDS
• Emily Jeanne Vangeti, M.D.
• Melissa R Vansickel, P.A.
• Justin Vasquez
• Maria Vera, PTA
• Carly Verkuilen, LAC, DIPL. AC

• Physical Therapist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.