Jacob Alan Vanelswyk, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7910 Issued in MN

Practice address

4300 Market Pointe Dr
Bloomington, MN 55435-5423

Phone

(952) 769-1684

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1720168701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARKET POINTE DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355423",
            "telephone_number": "952-769-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARKET POINTE DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355423",
            "telephone_number": "952-769-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANELSWYK",
        "first_name": "JACOB",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "20050255496",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031102-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Nicole Van Ryn
• Jacob S. Van Wyk, DPT
• Kayla Vancleave
• Sara Vande Walle, PHARMD
• Andrew Vanden Broeke, MA LAMFT
• Muychi Timothy Vang, OD
• Tony Kong Vang, MD
• Toua Vang
• Zong Cheng Vang
• Livia Vanhorne

• Physical Therapist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.