Jason R Vandeventer in Bloomington - Physical Therapist
Jason R Vandeventer - NPI 1205831070
Jason R Vandeventer is a Physical Therapist in Bloomington, Indiana. Jason R Vandeventer practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jason R Vandeventer is 1205831070. The last update date is 2008-09-26.
Jason R Vandeventer's current location address is 550 S Landmark Ave, Bloomington, Indiana. You can contact this provider via phone number 8123234475 and fax number 8123234478. The mailing address for Jason R Vandeventer is 550 S Landmark Ave, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason R Vandeventer |
|---|---|
| Address | 550 S Landmark Ave, Bloomington, Indiana |
| Phone Number | 8123234475 |
| Fax Number | 8123234478 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1205831070 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2008-09-26 |
Provider Mailing Address Detail
| Address | 550 S Landmark Ave |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 4740332390 |
| Phone Number | 8123234475 |
| Fax Number | 8123234478 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 05007082A |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200363990 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jason R Vandeventer by the Centers for Medicare & Medicaid Services (CMS)?
The Jason R Vandeventer has been assigned the NPI (National Provider Identifier) 1205831070. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jason R Vandeventer's facilities are geographically located?
The facilities of Jason R Vandeventer are physically situated at the following location: 550 S Landmark Ave, Bloomington, IN, 4740332390.
What is Jason R Vandeventer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason R Vandeventer's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
When was the Jason R Vandeventer's 1205831070 issued?
The Jason R Vandeventer's 1205831070 was issued on 2005-06-16.
When was the information related to Jason R Vandeventer most recently updated or refreshed?
The details pertaining to the Jason R Vandeventer, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-26.