Vandalia Physical Therapy – Physical Therapist, NPI 1467696104

Vandalia Physical Therapy is a healthcare provider. based in Mexico, Missouri. specializing in Physical Therapist. The organization holds a License No. 2005040393 (MO). The NPI Number for Vandalia Physical Therapy is 1467696104

Main info

Organization
Name
Vandalia Physical Therapy
NPI
1467696104
Phone
(573) 582-7129
Address
407 YALE ST
Authorized Official
JEROME GERONGCO CANAMA SOLE MEMBER RPT
Enumeration Date
24 April 2009
Last Update Date
21 May 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Vandalia Physical Therapy

  • 407, Yale Street, Mexico, Audrain County, Missouri, 65265, United States

    MEXICO, MO 652652340

    Phone: (573) 582-7129

    Type: Mailing

  • 108, South Main Street, Vandalia, Audrain County, Missouri, 63382, United States

    VANDALIA, MO 633821806

    Phone: (573) 594-2520

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 ·

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

Insurance plans in this area (ZIP 65265)

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Reviews

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Frequently asked questions

What identifier follows Vandalia Physical Therapy across health systems?
The NPI 1467696104 uniquely identifies Vandalia Physical Therapy in U.S. healthcare data.
Does the public listing show Vandalia Physical Therapy as active?
Vandalia Physical Therapy's NPI record reflects an active status in NPPES.
What services align with Vandalia Physical Therapy's listing?
Vandalia Physical Therapy's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to Vandalia Physical Therapy?
Vandalia Physical Therapy shows a connection to Mexico, Missouri in registry-derived data.
Can I export Vandalia Physical Therapy's record?
You can download the official NPPES record; we summarize key fields for readability.

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