Individual provider Active NPI

Claire Louise Van Valkenburg, PT,DPT

  • Physical Therapist
  • Kill Devil Hills, NC
National Provider Identifier
1831740034
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P4032 Issued in NC
Practice address
803 Bermuda Bay Blvd
Kill Devil Hills, NC 27948-9537
Phone
(252) 558-1243
NPI assigned
Sep 28, 2019
Last updated
Sep 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305002538 VA
Physical Therapist 225100000X P4032 NC Primary

Addresses

Primary practice location

803 Bermuda Bay Blvd
Kill Devil Hills, NC 27948-9537

Mailing address

775 Haywood Rd Ste H
Asheville, NC 28806-7111
Phone (828) 774-5222

Other names 1

  • Claire Louise Schneider Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P4032NCMDPhysical Therapist
2305002538VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluewater Physician Services PastSince Oct 6, 2019 Accepting new patients
Broad River Rehabilitation Physical Therapist PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1831740034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 HAYWOOD RD STE H",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288067111",
            "telephone_number": "828-774-5222",
            "fax_number": "828-774-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 BERMUDA BAY BLVD",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489537",
            "telephone_number": "252-558-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VALKENBURG",
        "first_name": "CLAIRE",
        "middle_name": "LOUISE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002538",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P4032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "SCHNEIDER",
            "middle_name": "LOUISE",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kill Devil Hills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; 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.