COREY R VANDERWULP (OT) – Occupational Therapist, NPI 1558606830

COREY R VANDERWULP (OT) is a healthcare provider. based in Traverse city, Michigan. specializing in Occupational Therapist. They hold the professional credentials OT. They hold a License No. 5201004911 (MI). The NPI Number for COREY R VANDERWULP (OT) is 1558606830

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
COREY R VANDERWULP (OT)
NPI
1558606830
Phone
(231) 941-3100
Address
1650 BARLOW ST
Enumeration Date
28 November 2012
Last Update Date
28 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312710374
Graduation Year
1998 (28 years ago)
PAC ID
9234384272
Group Practice PAC ID
1557527561
Professional Enrollment ID
I20130225000116
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for COREY R VANDERWULP (OT)

  • 1650 BARLOW ST

    TRAVERSE CITY, MI 496864721

    Phone: (231) 941-3100

    Fax: (231) 922-0382

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49686)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557527561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What federal number belongs to COREY R VANDERWULP (OT)?
The federal identifier for COREY R VANDERWULP (OT) is NPI 1558606830.
Is COREY R VANDERWULP (OT)'s NPI currently valid?
The extract we use shows COREY R VANDERWULP (OT) as active.
Does COREY R VANDERWULP (OT) list a primary specialty?
If you are matching referrals, note Occupational Therapist for COREY R VANDERWULP (OT). Clinical services aligned with this taxonomy classification.
What location shows for COREY R VANDERWULP (OT)?
We surface Traverse City, Michigan for COREY R VANDERWULP (OT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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