Individual provider Active NPI

Whitney Vandenraadt, DPT

  • Physical Therapist
  • West Jefferson, NC
National Provider Identifier
1982086971
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15592 Issued in NC
Practice address
875 Mount Jefferson Rd
Suite 3
West Jefferson, NC 28694-8334
Phone
(336) 846-7227
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P15592 NC Primary

Addresses

Primary practice location

875 Mount Jefferson Rd
Suite 3
West Jefferson, NC 28694-8334

Mailing address

875 Mount Jefferson Road
Suite 3
West Jefferson, NC 28640-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15592NCMDPharmacy Technician
P15592NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1982086971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MOUNT JEFFERSON ROAD",
            "address_2": "SUITE 3",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286409850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MOUNT JEFFERSON RD",
            "address_2": "SUITE 3",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948334",
            "telephone_number": "336-846-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENRAADT",
        "first_name": "WHITNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.