Joseph Benjamin Vandaveer, PT, NCS

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

4228 Issued in OK

Practice address

301 E Cherokee St
Lindsay, OK 73052

Phone

(405) 756-4303

NPI assigned

Nov 3, 2017

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• PTMS 3.0, LLC

  • Physical Therapist
  • Bethany, OK
  • NPI 1972056786
  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1689186306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CHEROKEE ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "730524414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CHEROKEE ST",
            "city": "LINDSAY",
            "state": "OK",
            "postal_code": "73052",
            "telephone_number": "405-756-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAVEER",
        "first_name": "JOSEPH",
        "middle_name": "BENJAMIN",
        "credential": "PT, NCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "OK",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly E Simonton, LPN
• South Central Medical and Resource Center Inc.
• Tabor Home Medical Services
• Tabors Drug Inc
• Michelle Lee Thornton, MSW
• Kari K Wahnee, PA-C
• Wal-Mart Stores East LP
• Carla Sue Walton
• Robert M Westcott, M.D.
• Tony Wilson, M.ED,LPC

• Neurology Physical Therapist in Lindsay, OK
• Providers in Lindsay, OK by specialty
• Neurology Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.