Jennifer Lanier Van Vrancken, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25529 Issued in FL

Practice address

4100 S Ferdon Blvd Ste C1
Crestview, FL 32536-5287

Phone

(850) 682-8388

NPI assigned

Jun 7, 2010

Last updated

Oct 23, 2014By 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

• Jennifer Kay Lanier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Triple E OT Inc

  • Pediatric Occupational Therapist
  • Crestview, FL
  • NPI 1710271374
  NPD (past)
• Triple E OT, Inc

  • Occupational Therapist
  • Defuniak Springs, FL
  • NPI 1720395759
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1659691194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 EGAN DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365426",
            "telephone_number": "985-707-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S FERDON BLVD STE C1",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365287",
            "telephone_number": "850-682-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VRANCKEN",
        "first_name": "JENNIFER",
        "middle_name": "LANIER",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LANIER",
            "middle_name": "KAY",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Urda, D.O
• Jared Ure, DMD
• Jessica Carolina Urena
• Tamika D Ussery-Freeman, MD
• Alexandra Van Dyke
• Sydney Vandaele
• Lauren Vanslee, DPT
• Virgil Vargas, MSN, APRN, FNP-C
• Richard Veale, L.M.T.
• Maria Vega Contreras

• Physical Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.