EMILY VANDEBURGT – Physical Therapist, NPI 1417818261

EMILY VANDEBURGT is a healthcare provider. based in Lynden, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT61628737 (WA). The NPI Number for EMILY VANDEBURGT is 1417818261

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EMILY VANDEBURGT
NPI
1417818261
Phone
(360) 354-0585
Address
1824 FRONT ST STE A
Enumeration Date
20 November 2025
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
UN OF BRITISH COLUMBIA, FACULTY OF MEDICINE
Secondary Phone
3603540585
Graduation Year
2023 (3 years ago)
PAC ID
8527546316
Group Practice PAC ID
2668465253
Professional Enrollment ID
I20260203000472
Address ID
WA982641729LY1824XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for EMILY VANDEBURGT

  • 1824 FRONT ST STE A

    LYNDEN, WA 982641729

    Phone: (360) 354-0585

    Fax: (360) 354-0585

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260203000472IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 98264)

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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: 2668465253View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Is EMILY VANDEBURGT listed with a National Provider Identifier?
Yes — EMILY VANDEBURGT has NPI 1417818261 on file in the registry.
Is there an active status for EMILY VANDEBURGT?
For scheduling context, EMILY VANDEBURGT is shown as active in the registry.
What clinical focus is listed for EMILY VANDEBURGT?
At a glance, EMILY VANDEBURGT is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EMILY VANDEBURGT?
Travel planning: use Lynden, Washington as the reference point for EMILY VANDEBURGT, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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