Active NPI
Scott Daniel Vanderlick, DPT
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1760773261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07718
- Practice address
- 8448 Siegen LN
Baton Rouge, LA 70810-1938 - Phone
- (225) 767-8182
- Fax
- (225) 767-8757
- NPI assigned
- May 2, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 07718 | LA | Primary |
Addresses
Primary practice location
8448 Siegen LN
Baton Rouge, LA 70810-1938
Mailing address
8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone (225) 767-8182
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1760773261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8448 SIEGEN LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101938",
"telephone_number": "225-767-8182",
"fax_number": "225-767-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8448 SIEGEN LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101938",
"telephone_number": "225-767-8182",
"fax_number": "225-767-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERLICK",
"first_name": "SCOTT",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.