Active NPI
Courtney Violet Vandermay, DPT
- Physical Therapist
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1374080
- Practice address
- 2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280 - Phone
- (973) 979-6577
- NPI assigned
- Oct 25, 2021
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-32248 | AZ | |
| Physical Therapist | 225100000X | 14700 | TN | |
| Physical Therapist | 225100000X | P20807 | NC | |
| Physical Therapist | 225100000X | 40QA02047300 | NJ | |
| Physical Therapist | 225100000X | 26167 | MA | |
| Physical Therapist | 225100000X | 1374080 | TX | Primary |
Addresses
Primary practice location
2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280
Mailing address
93 Lenox Rd
Wayne, NJ 07470-5539
Phone (201) 790-3697
Other practice location 1
13951 W Grand Ave Ste 201
Surprise, AZ 85374-2436
Phone (623) 537-9730
Other practice location 2
333 Irving Ave
Bridgeton, NJ 08302-2123
Phone (856) 575-4500
Other practice location 3
1430 W Sherman Ave Ste 1
Vineland, NJ 08360-6927
Phone (856) 641-7875
Other practice location 4
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26167 | MA | MD | Pharmacotherapy Pharmacist |
| LPT-32248 | AZ | MD | Physical Therapist |
| P20807 | NC | MD | Physical Therapist |
| 40QA02047300 | NJ | MD | Physical Therapist |
| 14700 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072
2268 N Lake Shore Dr
Ste 106
Rockwall, TX 75087
Phone (214) 771-7960
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 2
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 Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1740944925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 LENOX RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705539",
"telephone_number": "201-790-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2268 N LAKE SHORE DR STE 106",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870280",
"telephone_number": "973-979-6577"
}
],
"practiceLocations": [
{
"address_1": "13951 W Grand Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853742436",
"country_code": "US",
"telephone_number": "623-537-9730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Irving Ave",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "NJ",
"postal_code": "083022123",
"country_code": "US",
"telephone_number": "856-575-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 W Sherman Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "083606927",
"country_code": "US",
"telephone_number": "856-641-7875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Brookline Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155400",
"country_code": "US",
"telephone_number": "617-667-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERMAY",
"first_name": "COURTNEY",
"middle_name": "VIOLET",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32248",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20807",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02047300",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26167",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1374080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.