VERNON JACK VANDENBERG (PT) – Physical Therapist, NPI 1184652299

VERNON JACK VANDENBERG (PT) is a healthcare provider. based in Holland, Michigan. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 5501001113 (MI). The NPI Number for VERNON JACK VANDENBERG (PT) is 1184652299

Main info

Male
Name
VERNON JACK VANDENBERG (PT)
NPI
1184652299
Phone
(616) 392-2172
Address
286 HOOVER BLVD
Enumeration Date
29 June 2006
Last Update Date
1 September 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for VERNON JACK VANDENBERG (PT)

  • 286, Hoover Boulevard, Holland Charter Township, Ottawa County, Michigan, 49423, United States

    HOLLAND, MI 494233719

    Phone: (616) 392-2172

    Fax: (616) 392-1726

    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.

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Medicare Enrollment & Revalidation

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

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

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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 49423)

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Reviews

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Frequently asked questions

Is there an official ID for VERNON JACK VANDENBERG (PT) in U.S. healthcare records?
The official identifier for VERNON JACK VANDENBERG (PT) is NPI 1184652299.
Is VERNON JACK VANDENBERG (PT) still an active registrant?
VERNON JACK VANDENBERG (PT) carries an active NPI according to the public dataset.
What clinical focus is listed for VERNON JACK VANDENBERG (PT)?
At a glance, VERNON JACK VANDENBERG (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is VERNON JACK VANDENBERG (PT) located near Holland?
VERNON JACK VANDENBERG (PT) currently maps to Holland, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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