Individual provider Active NPI

Emily Mae Vanderveer, DPT

  • Physical Therapist
  • Goshen, IN
National Provider Identifier
1841802337
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013871A Issued in IN
Practice address
1775 E Kercher Rd
Goshen, IN 46526-6308
Phone
(574) 533-0300
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013871A IN Primary

Addresses

Primary practice location

1775 E Kercher Rd
Goshen, IN 46526-6308

Mailing address

2310 California Rd
Elkhart, IN 46514-1228
Phone (574) 264-0791

Other practice location 1

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827002817 IN Practitioner - Physical Therapist in Private Practice 2466878327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Outpatient ServicesGroup PAC ID 6507264165, 10 clinicians

Practice addresses (Care Compare)

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
59.71
Promoting interoperability
90
Improvement activities
40
Cost
88.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013871AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince Aug 17, 2020 Accepting new patients
Healthy Expectations, Inc CurrentSince Sep 1, 2020 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana Inc CurrentSince Aug 17, 2020 Accepting new patients
Senior Outpatient Services Physical Therapist CurrentSince Jan 26, 2025 Accepting new patients
ASC Surgical Ventures, LLC Past Accepting new patients

Locations

2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791

1720 Fulton St
Elkhart, IN 46514

1910 Saint Joe Center Rd
Ste 33
Fort Wayne, IN 46825
Phone (260) 471-6074

1775 E Kercher Rd
Goshen, IN 46526
Phone (574) 533-0300

600 N Main St
Middlebury, IN 46540
Phone (574) 825-8685

Organizations & group practices 5

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1841802337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E KERCHER RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266308",
            "telephone_number": "574-533-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 E Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465164419",
            "country_code": "US",
            "telephone_number": "574-333-9747",
            "fax_number": "574-367-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERVEER",
        "first_name": "EMILY",
        "middle_name": "MAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.