MR. MICHAEL G VAN PEVENAGE RPT
NPI 1184789703
Physical Therapist in Davenport, WA

Active since December 26, 2006
506 MORGAN STREET, DAVENPORT, WA 99122(509) 725-7325(509) 725-5325 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physical Therapist

About MICHAEL VAN PEVENAGE

This page provides the complete NPI Profile along with additional information for Michael Van Pevenage, a provider established in Davenport, Washington with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1184789703 assigned on December 2006. The practitioner's primary taxonomy code is 225100000X with license number PT00006484 (WA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1184789703 Verify this NPI
Provider Name
MR. MICHAEL G VAN PEVENAGE RPT
Gender
Male
Entity Type
Individual
Location Address
506 MORGAN STREET DAVENPORT, WA 99122
Location Phone
(509) 725-7325
Location Fax
(509) 725-5325
Mailing Address
PO BOX 752 DAVENPORT, WA 99122
Mailing Phone
(509) 725-7325
Mailing Fax
(509) 725-5325
Is Sole Proprietor?
No
Enumeration Date
12-26-2006
Last Update Date
10-19-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT00006484
License State
WA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DF0622OTHER (01)WAPALMETTO
0205378OTHER (01)WALABOR AND INDUSTRIES
7125768MEDICAID (05)WA 
G8858341MEDICARE ID-TYPE UNSPECIFIED (04)WA 

Reviews for MR. MICHAEL G VAN PEVENAGE RPT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapist
506 MORGAN STREET
DAVENPORT, WA 99122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184789703, enumerated as an "individual" on December 26, 2006.

The provider is located at 506 MORGAN STREET DAVENPORT, WA 99122 and the phone number is (509) 725-7325.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.