Traci Jo Vandeweerd

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01807 Issued in KS

Practice address

3715 SW 29TH St
Topeka, KS 66614-2107

Phone

(785) 354-0767

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881813269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SYCAMORE ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660258901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142107",
            "telephone_number": "785-354-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWEERD",
        "first_name": "TRACI",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry D Vande Garde, M. D.
• Linda Kay Vande Garde, LSCSW KANSAS
• Trent L. Vande Garde, M.D.
• Laura Renee Vanderheiden-Zahner, MD
• Megan Vandevelde
• Ann Barbara Vandiver, LCMFT
• Sandeep Vangala, MD
• Rich Vanmeter
• Tommy L Vann, CADC
• Greggory Jesse Vansickle, M.D.

• Physical Therapy Assistant in Topeka, KS
• Providers in Topeka, KS by specialty
• Physical Therapy Assistant in Kansas

• 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.