Penelope Evon Vanweort, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008525-1 Issued in NY

Practice address

176 US Oval
Plattsburgh, NY 12903-3913

Phone

(585) 760-5271

NPI assigned

Jan 13, 2020

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1780224238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 US OVAL",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033913",
            "telephone_number": "585-760-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 US OVAL",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033913",
            "telephone_number": "585-760-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWEORT",
        "first_name": "PENELOPE",
        "middle_name": "EVON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Plattsburgh",
            "affiliation": "N",
            "address_1": "176 US Oval",
            "city": "Plattsburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129033913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Plattsburgh",
            "affiliation": "N",
            "address_1": "176 US Oval",
            "city": "Plattsburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129033913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christa Vancour
• Guadalupe Vanderhorst Rodriguez, ACUPUNCTURIST
• Lena Vann
• James David Vanness, P.A.
• Kathleen Vanness, PT
• Varin's Ambulance Service Inc
• Varins Ambulance Service Inc
• Daphne Riker Vassar, RN
• Kathryn M Vassar, CCC-SLP
• Shannon Marie Vassar

• Physical Therapist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.