Elizabeth Anne Vandermeer, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

123434 Issued in AK

Practice address

3677 College Rd Ste 13
Fairbanks, AK 99709-3732

Phone

(907) 479-3800

Fax

(907) 479-3800

NPI assigned

Nov 7, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1922511427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 COLLEGE RD STE 13",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093732",
            "telephone_number": "907-479-3800",
            "fax_number": "907-479-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 COLLEGE RD STE 13",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093732",
            "telephone_number": "907-479-3800",
            "fax_number": "907-479-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMEER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "123434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI",
            "identifier": "1972643138",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Megan Renee Varble
• Destinee Faith Vargason
• Wyatt Daniel Vargason
• Jessica Varn, LCSW

• Physical Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.