Active NPI
Paul Douglas Vanlaere, DPT
- Physical Therapist
- Hutchinson, MN
National Provider Identifier
1871096842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10184
- Practice address
- 1015 Century Ave SW
Hutchinson, MN 55350-3817 - Phone
- (320) 484-9150
- NPI assigned
- Mar 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10184 | MN | Primary |
Addresses
Primary practice location
1015 Century Ave SW
Hutchinson, MN 55350-3817
Mailing address
914 7TH Ave NW
Hutchinson, MN 55350-3411
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10184 | MN | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1871096842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 7TH AVE NW",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553503411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 CENTURY AVE SW",
"city": "HUTCHINSON",
"state": "MN",
"postal_code": "553503817",
"telephone_number": "320-484-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLAERE",
"first_name": "PAUL",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.