Active NPI
Vanessa Rae Ballard, PT
- Physical Therapist
- Sarasota, FL
National Provider Identifier
1679766737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13131
- Practice address
- 1727 2ND St Ste 2
Sarasota, FL 34236-8524 - Phone
- (941) 951-0170
- Fax
- (941) 993-1088
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT13131 | FL | Primary |
Addresses
Primary practice location
1727 2ND St Ste 2
Sarasota, FL 34236-8524
Mailing address
7216 US Highway 301 N
Suite 115
Ellenton, FL 34222-3462
Phone (941) 729-0003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT13131 | Other | FL | STATE LICENSE |
| 892505400 | Medicaid | FL |
Other names 1
- Vanessa Rae Kurtenbach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club 50, LLC | Current | Accepting new patients | |
| Legacy Healthcare Inc | Physical Therapist | Past | Accepting new patients |
| Legacy Healthcare Inc | Physical Therapist | Past | Accepting new patients |
| Legacy Healthcare Inc | Physical Therapist | Past | Accepting new patients |
| Total Therapy Solutions LLC | Physical Therapist | Past | Accepting new patients |
Locations
1727 2nd St
Ste 2
Sarasota, FL 34236
Phone (941) 951-0170
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Sarasota, FL
- NPI 1386034825
-
- Physical Therapist
- Sarasota, FL
- NPI 1154375715
-
- Physical Therapist
- Parrish, FL
- NPI 1710930771
-
- Physical Therapist
- Venice, FL
- NPI 1972556017
-
- Rehabilitation Practitioner
- Monroe, OH
- NPI 1114973104
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1679766737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7216 US HIGHWAY 301 N",
"address_2": "SUITE 115",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342223462",
"telephone_number": "941-729-0003",
"fax_number": "941-729-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 2ND ST STE 2",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342368524",
"telephone_number": "941-951-0170",
"fax_number": "941-993-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "VANESSA",
"middle_name": "RAE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT13131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT13131",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892505400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "KURTENBACH",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.