Stephen M Van Rij

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60924548 Issued in WA

Practice address

4215 Convention PL
Pasco, WA 99301-0009

Phone

(509) 546-2306

NPI assigned

Feb 19, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lourdes Hospital LLCGroup PAC ID 1850642562, 42 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 and National Provider Directory roles.

• Lourdes Hospital LLC

  • Internal Medicine Physician
  • Pasco, WA
  • NPI 1659861060
  Medicare reassignment Care Compare group NPD
• Lourdes Hospital LLC

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  NPD
• Our Lady of Lourdes Health Center

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1659505840
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1922564558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 CHAPEL HILL BLVD APT B202",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013183",
            "telephone_number": "801-634-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 CONVENTION PL",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993010009",
            "telephone_number": "509-546-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RIJ",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60924548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalia Urbina Valencia
• Stephanie Teresa Valdez
• Saul Valencia, M.D.
• Gerard Van Houdt, M.D.
• Rebecca Marie Van Pelt
• Kim Louise Turner Vanatta, D.O.
• Ashley Vangundy
• Genesis Gabriela Vargas
• Victoria Vasilyeva
• Gabriela Vasquez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.