Eric Vandongen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12679 Issued in TN

Practice address

2004 Hayes St Ste 110
Nashville, TN 37203-2648

Phone

(615) 815-3777

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Sports Medicine and Orthopaedic Center, PLC

  • Specialist
  • Nashville, TN
  • NPI 1528281623
  Medicare reassignment Care Compare group NPD
• Elite Sports Medicine and Orthopaedic Center, PLC

  • Orthopaedic Surgery Physician
  • Brentwood, TN
  • NPI 1669115622
  NPD

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1811526296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STOCKYARD ST APT 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011136",
            "telephone_number": "908-304-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032648",
            "telephone_number": "615-815-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDONGEN",
        "first_name": "ERIC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12679",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01685000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Vanderpool, AGACNP-BC
• Josephine Vanderpool
• Julie Lorene Vanderpool, MSN, ACNP
• Frank K Vandevender, MD
• Rene G Vandevoorde III, M.D.
• Kimberly Amick Vandusen, M.S.
• Ashley Vanek, RN
• Blong Vang
• Vanguard of Crestview, LLC
• Ashley Vanhaverbeck, DO

• Physical Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.