MR. MATTHEW J VANDERKOOI (NPI# 1932180775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932180775 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW J VANDERKOOI |
| Credential | PT |
| Practice Address |
2639 New Pinery Rd Suite 2 Portage WI 53901-1110 |
| Practice Telephone | 6087429356 |
| Practice Fax Number | 6087429358 |
| Mailing Telephone | 6087429356 |
| Mailing Fax Number | 6087429358 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5434 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40377900 | 05 | |
| WI | RAILROAD MEDICARE INDIV # | P00230916 | 01 |
| Street Address |
2639 NEW PINERY RD SUITE 2 |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518315290 | Jordan Hove | Physical Therapist | 2639 New Pinery Rd, Portage, WI 53901-1110 | 2016-06-02 |
| 1639470156 | Rachel L Harry | Counselor | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2010-11-15 |
| 1376863324 | Mary Rose Strickland | Physical Therapist | 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | 2010-06-01 |
| 1104144518 | Edward Rothbauer | Physical Therapist | 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | 2010-05-10 |
| 1881889509 | Jacquelyn Marie Walker | Physical Therapist | 2639 New Pinery Rd, Suite 2, Portage, WI 53901-1110 | 2007-09-06 |
| 1649208505 | Philip W Robinson | Social Worker | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-29 |
| 1144264375 | Sarah J Kravick | Counselor | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-16 |
| 1861436065 | Barry D. Erath | Counselor | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-16 |
| 1922042126 | Lori N Greer | Psychologist | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-16 |
| 1174567317 | Sara B Shaver | Counselor | 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449923 | Patricia Lynn Naus | Physical Therapist | 13832 Powell Rd, Portage, OH 43451-9770 | 2020-08-24 |
| 1073165577 | Emily Lugo | Physical Therapist | 2815 New Pinery Rd, Portage, WI 53901-9257 | 2019-07-15 |
| 1558913087 | Amy Olson | Physical Therapist | 2815 New Pinery Rd Ste 1, Portage, WI 53901-9257 | 2019-07-15 |
| 1942860556 | Ryan Thomas Scoran | Physical Therapist | 900 Orange Ave Ste 1, Portage, PA 15946-1103 | 2019-06-17 |
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1013434323 | Cassie Ross | Physical Therapist | 6016 Lovers Ln Ste 3, Portage, MI 49002-3050 | 2017-08-28 |
| 1932578580 | Shiva Ram Boda | Physical Therapist | 5169 Chasemoor Ct, Portage, MI 49024-8118 | 2015-09-24 |
| 1306285127 | Karen Lynn Solarek | Physical Therapist | 5717 Oakland Dr Ste B, Portage, MI 49024-1116 | 2013-06-15 |
| 1043591688 | Subhransu Mohan Samanta | Physical Therapist | 5066 Trumpeter Dr, Portage, MI 49024-5518 | 2011-09-08 |
| 1356621874 | Empower Physical Therapy, LLC | Physical Therapist | 5000 Portage Rd, Portage, MI 49002-1729 | 2011-08-29 |
| Find all providers in PORTAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.