Jason Van Dyck, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070.027495 Issued in IL

Practice address

110 Euclid Ave
Park Ridge, IL 60068-4217

Phone

(224) 273-5770

NPI assigned

Aug 29, 2025

Last updated

Aug 29, 2025By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1831078138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EUCLID AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684217",
            "telephone_number": "224-273-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EUCLID AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684217",
            "telephone_number": "224-273-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYCK",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.027495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauricio Valencia
• Val Valencia, MD
• Yvette Valencia, DMD
• Elisa Valles, DNP APRN
• Laura Marie Van Dusen, MD
• Kevin Francis Vander Heyden
• Annette Elizabeth Vander Ploeg, L.C.S.W.
• Kimberly Vander Ploeg
• Emily Vanella, LCSW
• Brian G Vanmeurs, PHD

• Orthopedic Physical Therapist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.