Joann Vautour

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002499E Issued in PA

Practice address

3054 Enterprise Dr
State College, PA 16801-2755

Phone

(814) 234-6023

Fax

(814) 234-1439

NPI assigned

Mar 27, 2007

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

Other identifiers 1

Other names 1

• Joann Vandenburgh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sfionline/r4/

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.

• Strawberry Fields, Inc

  • Case Management Agency
  • State College, PA
  • NPI 1386705135
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1780702787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012755",
            "telephone_number": "814-237-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012755",
            "telephone_number": "814-234-6023",
            "fax_number": "814-234-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUTOUR",
        "first_name": "JOANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002499E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019439410001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "VANDENBURGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonia Paige Vanhorn
• Erin R Vanness, MD
• Nancy Carroll Vansaun, LCSW
• Taylor Brooke Varela, DO
• Vassar Integrative Psychiatry PLLC
• Raymond Joseph Vautour, MD
• Melanie Veeder, LPC
• Mukundam Nmi Veerabathini, M.D.
• Dmitry A Vilensky, M.D.
• Vyacheslav Vilensky, M.D.

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.