Analisa Vanoostrum, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63400 Issued in OR

Practice address

540 S Main St
Mount Angel, OR 97362-9540

Phone

(503) 845-2736

NPI assigned

Oct 15, 2019

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avanoostrum109636@direct.ohsu.edu

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.

• Ohsu Outpatient Clinical Services LLC

  • General Practice Physician
  • Beaverton, OR
  • NPI 1336824440
  Medicare reassignment NPD
• Ohsu Outpatient Clinical Services LLC

  • Physiological Laboratory
  • Portland, OR
  • NPI 1194568469
  NPD
• Mighty Oaks Children'S Therapy Center

  • Pediatric Occupational Therapist
  • Albany, OR
  • NPI 1902935414
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1972145597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MCGEE CT NE APT 202",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973039482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S MAIN ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629540",
            "telephone_number": "503-845-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOOSTRUM",
        "first_name": "ANALISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Carrol Sprauer, LMT
• Brittany Nicole Thiemens, DPT
• Stephanie Roseman Tullar, FNP-BC
• Amy Uselman, DPT
• Amy Van Goey
• Kasey Danielle Werner, OTD, OTR/L
• Corey W Whirledge
• Kevin Wayne Young, OT
• Merissa Zielinski

• Physical Therapist in Mount Angel, OR
• Providers in Mount Angel, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.