Cara J. Vandale, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

256 Issued in WV

Practice address

313 Maccorkle Ave SW
Charleston, WV 25303-1263

Phone

(304) 744-2300

Fax

(304) 744-8195

NPI assigned

Jul 15, 2006

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 identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT IncGroup PAC ID 4385952100, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DPT, Inc

  • Physical Therapy Clinic/Center
  • Charleston, WV
  • NPI 1932580065
  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy and Hand Center, LLC

  • Physical Therapist
  • Charleston, WV
  • NPI 1780781971
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1710903240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "304-744-2300",
            "fax_number": "304-744-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MACCORKLE AVE SW",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031263",
            "telephone_number": "304-744-2300",
            "fax_number": "304-744-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDALE",
        "first_name": "CARA",
        "middle_name": "J.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159443000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001720898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "670001502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000217244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAID UNISON",
            "identifier": "000000204383",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV RAIL ROAD MEDICARE",
            "identifier": "P00884476",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Mae Vance
• Rachael Vance, MA
• Ralph Glenn Vance
• Sydnee Marie Vance
• Rachel Vancross
• Laura A. Vandall, PHARM.D.
• Casey B Vanderbilt
• Ashlee Nicole Vandruff, MA
• Samantha Vanfossen
• Amber Vangilder

• Occupational Therapist in Charleston, WV
• Providers in Charleston, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.