Active NPI
Chanel Nicole Vanderhorst, PT
- Physical Therapist
- Columbia, MD
National Provider Identifier
1760620306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23464
- Practice address
- 8865 Stanford Blvd
Suite 114
Columbia, MD 21045-5420 - Phone
- (410) 290-4480
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23464 | MD | Primary |
Addresses
Primary practice location
8865 Stanford Blvd
Suite 114
Columbia, MD 21045-5420
Mailing address
PO Box 356
Burtonsville, MD 20866-0356
Phone (301) 421-1125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23464 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Point MVP LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1760620306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 356",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208660356",
"telephone_number": "301-421-1125",
"fax_number": "301-500-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8865 STANFORD BLVD",
"address_2": "SUITE 114",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455420",
"telephone_number": "410-290-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHORST",
"first_name": "CHANEL",
"middle_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.