TEEGAN JAY VANGHEEM DPT
NPI 1174317150
Physical Therapist - Orthopedic in Green Bay, WI

Q: What is Teegan Vangheem's NPI number?

The NPI number for Teegan Vangheem is 1174317150. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Teegan Vangheem's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Teegan Vangheem was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2025Accepts Medicare Assignment

3021 VOYAGER DR, GREEN BAY, WI 54311(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Teegan Jay Vangheem Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEEGAN JAY VANGHEEM DPT (NPI 1174317150) is an individual orthopedic provider in Green Bay, Wisconsin, licensed in Wisconsin (17342-24) and active in the NPI registry since April 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1174317150

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameTEEGAN JAY VANGHEEMCredential: DPT

Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303

Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700

Phone(920) 496-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 7, 2025

Last NPPES UpdateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1174317150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in WI · 17342-24

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical TherapistTaxonomy 225100000X · License 17342-24 (WI)

3021 VOYAGER DR, Green Bay, WI 54311

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Other Identifiers 1

Medicaid100329204WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teegan Jay Vangheem Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507378080

PECOS Enrollment IDI20250620002335

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARA CHEEMA MD

Student in an Organized Health Care Education/Training Program