Gerald (Gerry) C Van Dyke in Aptos - Sports
Gerald (Gerry) C Van Dyke - NPI 1659318673
Gerald (Gerry) C Van Dyke is a Sports in Aptos, California. Gerald (Gerry) C Van Dyke practices all healthcare services and medical treatments related to Sports. The NPI Number for Gerald (Gerry) C Van Dyke is 1659318673. The last update date is 2013-08-19.
Gerald (Gerry) C Van Dyke's current location address is 6193 Soquel Dr, Aptos, California. You can contact this provider via phone number 8314621212 and fax number 8314621221. The mailing address for Gerald (Gerry) C Van Dyke is 6193 Soquel Dr, Aptos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald (Gerry) C Van Dyke |
|---|---|
| Address | 6193 Soquel Dr, Aptos, California |
| Phone Number | 8314621212 |
| Fax Number | 8314621221 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1659318673 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2013-08-19 |
Provider Mailing Address Detail
| Address | 6193 Soquel Dr |
|---|---|
| City | Aptos |
| State | California (CA) |
| Post Code | 950033116 |
| Phone Number | 8314621212 |
| Fax Number | 8314621221 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT13181 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 650009364 | CA | RAILROAD MEDICARE | |
| 770393462 | CA | BLUE CROSS | |
| PT0131810 | CA | -- | |
| ZZZ45601Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gerald (Gerry) C Van Dyke by the Centers for Medicare & Medicaid Services?
The Gerald (Gerry) C Van Dyke has been assigned the NPI (National Provider Identifier) 1659318673 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Gerald (Gerry) C Van Dyke located?
The Gerald (Gerry) C Van Dyke is located at 6193 Soquel Dr, Aptos, CA 950033116.
What is Gerald (Gerry) C Van Dyke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gerald (Gerry) C Van Dyke's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659318673 to Gerald (Gerry) C Van Dyke?
The Gerald (Gerry) C Van Dyke received its 1659318673 assignment from the Centers for Medicare & Medicaid Services on 2006-05-31.
When was the information regarding Gerald (Gerry) C Van Dyke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gerald (Gerry) C Van Dyke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-19.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN