Christina Vandergaag, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60104495 Issued in WA

Practice address

8819 W Victoria Ave # 110
Kennewick, WA 99336-7193

Phone

(509) 783-1851

NPI assigned

Oct 12, 2023

Sex

Female

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

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1689455826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 S OLYMPIA ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374609",
            "telephone_number": "509-572-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 W VICTORIA AVE # 110",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367193",
            "telephone_number": "509-783-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGAAG",
        "first_name": "CHRISTINA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60104495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sully Valle
• Krista Layne Van Nostern, PHARMD
• Kevin Jeffrey Van Vleet, P.T.
• David Van-Thai, MD
• David Cecil Vancorbach, SUDPT
• Bailey Ann Vandervert
• Tanya Vanham
• Megan J Vanhollebeke
• Alyssa Vanpelt, RN
• Irlanda Alaniz Vargas

• Physical Therapy Assistant in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.