DR. DAVID PAVLOVICH VERGULYANETS PT, DPT.
NPI 1215716170
Physical Therapist in Vancouver, WA

Active since September 28, 2023
109 SE 101ST AVE, VANCOUVER, WA 98664(503) 208-4130 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Apr 19, 2024 (2 updates tracked since 2024).

About Dr. David Pavlovich Vergulyanets Pt, Dpt. NPPES

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

DR. DAVID PAVLOVICH VERGULYANETS PT, DPT. (NPI 1215716170) is an individual physical therapist in Vancouver, Washington, licensed in Oregon (63832) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1215716170
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. DAVID PAVLOVICH VERGULYANETSCredential: PT, DPT.
Location Address109 SE 101ST AVEVancouver, WA 98664-3907
Mailing Address808 Se Chkalov Dr Ste 3 #199Vancouver, WA 98683 · (503) 208-4130 · Fax (503) 961-1228
Sole ProprietorYes
Enumeration DateSeptember 28, 2023
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1215716170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in OR · 63832
Definition
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.
109 SE 101ST AVE, Vancouver, WA 98664

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Pavlovich Vergulyanets Pt, Dpt. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show David Vergulyanets reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
109 SE 101ST AVE
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Physical Therapy)
109 SE 101ST AVE
VANCOUVER, WA 98664
Contractor
109 SE 101ST AVE
VANCOUVER, WA 98664
Massage Therapist
109 SE 101ST AVE
VANCOUVER, WA 98664
Massage Therapist
109 SE 101ST AVE
VANCOUVER, WA 98664
Chiropractor
109 SE 101ST AVE
VANCOUVER, WA 98664
Chiropractor
109 SE 101ST AVE
VANCOUVER, WA 98664
Physical Therapist
109 SE 101ST AVE
VANCOUVER, WA 98664
Chiropractor
109 SE 101ST AVE
VANCOUVER, WA 98664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Vergulyanets's NPI number?

The NPI number for David Vergulyanets is 1215716170. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is David Vergulyanets located?

David Vergulyanets practices at 109 SE 101st Ave, Vancouver, WA 98664. The listed phone number is (503) 208-4130.

What is David Vergulyanets's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is David Vergulyanets enrolled in Medicare?

Yes. David Vergulyanets is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Vergulyanets's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Vergulyanets reassigns Medicare benefits to Physical Therapy & Rehab LLC (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Vergulyanets's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Vergulyanets was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.