Scott W Van Niekerk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016861-1 Issued in NY

Practice address

1591 Route 22
Wholistic Physical Therapy
Brewster, NY 10509-4026

Phone

(845) 940-1050

Fax

(845) 940-1051

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wholistic Physical Therapy, PC

  • Physical Therapist
  • Brewster, NY
  • NPI 1871781641
  Medicare reassignment NPD Authorized official
• Route 22 Medical PC

  • Internal Medicine Physician
  • Brewster, NY
  • NPI 1578643276
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1881692309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 ROUTE 22 BLDG 3",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094025",
            "telephone_number": "845-940-1050",
            "fax_number": "845-940-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 ROUTE 22",
            "address_2": "WHOLISTIC PHYSICAL THERAPY",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094026",
            "telephone_number": "845-940-1050",
            "fax_number": "845-940-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E 41st St Rm 403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176257",
            "country_code": "US",
            "telephone_number": "845-940-1050",
            "fax_number": "845-940-1051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN NIEKERK",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016861-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Uliss, LCAT, ATR-BC
• Understanding Me, Inc.
• Kathleen Melissa Urban, MA
• Lindsay Vallovera, LMSW
• Value Village Inc
• Lisa Vanderhoff, RN
• Theresa Marie Vanderhoff, RN
• Cinimol Varughese
• Gecenia Ashley Vasquez
• Anu Vatsan, M.D

• Physical Therapist in Brewster, NY
• Providers in Brewster, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.