Ryan Vandusen, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20029 Issued in FL

Practice address

2007 NE 40TH Rd
Homestead, FL 33033-5122

Phone

(786) 261-1066

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Holistic Rehabilitation Inc.

  • Physical Therapist
  • Homestead, FL
  • NPI 1417171406
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861616823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 NE 40TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335122",
            "telephone_number": "786-261-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 NE 40TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335122",
            "telephone_number": "786-261-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUSEN",
        "first_name": "RYAN",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Eugenia Vallina Bequer
• Zaida Valoy
• Jose Luis Valverde, BS
• Daniela Paola Van Brakel, APRN
• Vanderbilt Therapy, LLC
• Yanicia Vanegas
• Vanguard Health TX LLC
• Vanguard Healthcare Center Corp
• Arcides Alberto Varela Banos
• Maria Gabriela Varela de Sanchez

• Physical Therapist in Homestead, FL
• Providers in Homestead, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.