Phyllis Vandervort, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 60418213 Issued in WA

Practice address

7726 Center Blvd SE
Suite 220
Snoqualmie, WA 98065-8748

Phone

(425) 396-7778

Fax

(425) 396-7097

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Leigh Ritchie Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Snoqualmie Ridge Physical Therapy, P.S.Group PAC ID 4880689074, 6 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Snoqualmie Ridge Physical Therapy, P.S.

  dba Peak Sports and Spine Physical Therapy

  • Physical Therapist
  • Snoqualmie, WA
  • NPI 1831284421
  Medicare reassignment Care Compare group NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833
  Medicare reassignment Care Compare group
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Physical Therapist

  NPD
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Harbor Square

  • Physical Therapy Clinic/Center
  • Edmonds, WA
  • NPI 1669296141

  Physical Therapist

  NPD

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1902202740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 CENTER BLVD SE",
            "address_2": "SUITE 220",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658748",
            "telephone_number": "425-396-7778",
            "fax_number": "425-396-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 CENTER BLVD SE",
            "address_2": "SUITE 220",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658748",
            "telephone_number": "425-396-7778",
            "fax_number": "425-396-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVORT",
        "first_name": "PHYLLIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60418213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "RITCHIE",
            "middle_name": "LEIGH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Touma, LMFT
• Linsey Tracy
• Penny Russell Tronolone, MD
• Kimberly Vair, RDN
• Auryel Van Gemert
• Britney Varhley, M.S. SLP-CCC
• H. Martin Vatheuer, MD
• Liane M Venezia, RN
• Elizabeth Ann Koenig Viney, PHD
• Anna Helena Wahlstrom, CDP

• Physical Therapist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.