Kelly Vande Vegte, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7525 Issued in MN

Practice address

1465 County Rd 101 N
Plymouth, MN 55447

Phone

(763) 473-1488

NPI assigned

Mar 2, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1811964315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 COUNTY RD 101 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 COUNTY RD 101 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55447",
            "telephone_number": "763-473-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE VEGTE",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kenneth Valentini, D.C.
• Vicente Valeriano, L. AC. ,D.O.M
• Ryan David Valk, MD
• Daniel Mark Van Handel, M.D.
• Sarah Elizabeth Vance, APRN CRNA
• Lucas Robert Vandergon
• Brianna Vang
• Mai PA Tao Vang
• Nou Vang, DPT
• Tanya Medina Vassallo, MA, LBA, BCBA

• Physical Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.