JEREMY C VANDEVENDER P.T.
NPI 1487691416
Physical Therapist in Staten Island, NY

Active since May 31, 2006
4434 AMBOY RD, STATEN ISLAND, NY 10312(718) 227-7015(718) 227-6411 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy C Vandevender P.t. NPPES

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

JEREMY C VANDEVENDER P.T. (NPI 1487691416) is an individual physical therapist in Staten Island, New York, licensed in New York (021302-1) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1487691416
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJEREMY C VANDEVENDERCredential: P.T.
Location Address4434 AMBOY RDStaten Island, NY 10312-3866
Mailing Address4175 Veterans Memorial Hwy, Suite 202Ronkonkoma, NY 11779-7639 · (631) 580-5200 · Fax (631) 580-5222
Fax(718) 227-6411
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateNovember 10, 2009
NPI 1487691416 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
Licenses Licensed in NY · 021302-1 Licensed in NJ · 40QA00972700
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.
4434 AMBOY RD, Staten Island, NY 10312

Other Identifiers 3

Medicare ID-Type UnspecifiedP95419NJ
Medicaid02584283NY
Medicare ID-Type UnspecifiedQ11P81NY

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Geriatric Medicine)
4434 AMBOY RD
STATEN ISLAND, NY 10312
Physical Therapist
4434 AMBOY RD
STATEN ISLAND, NY 10312
Internal Medicine
4434 AMBOY RD
STATEN ISLAND, NY 10312
Physical Therapist
4434 AMBOY RD, EMPIRE PHYSICAL THERAPY
STATEN ISLAND, NY 10312
Physical Therapist
4434 AMBOY RD
STATEN ISLAND, NY 10312
Physical Therapist
4434 AMBOY RD
STATEN ISLAND, NY 10312
Internal Medicine (Gastroenterology)
4434 AMBOY RD
STATEN ISLAND, NY 10312
Physical Therapist
4434 AMBOY RD
STATEN ISLAND, NY 10312

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 Jeremy Vandevender's NPI number?

The NPI number for Jeremy Vandevender is 1487691416. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jeremy Vandevender located?

Jeremy Vandevender practices at 4434 Amboy Rd, Staten Island, NY 10312. The listed phone number is (718) 227-7015.

What is Jeremy Vandevender's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Vandevender was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.