MR. RUSSELL ALLEN VANDE VEGTE PT
NPI 1487850558
Physical Therapist - Orthopedic in San Diego, CA

Q: What is Russell Vande Vegte's NPI number?

The NPI number for Russell Vande Vegte is 1487850558. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Q: What is Russell Vande Vegte's specialty?

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

Active since June 25, 2007

4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123(858) 694-4922 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Russell Allen Vande Vegte Pt NPPES

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

MR. RUSSELL ALLEN VANDE VEGTE PT (NPI 1487850558) is an individual orthopedic provider in San Diego, California, licensed in California (14066) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1487850558

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMR. RUSSELL ALLEN VANDE VEGTECredential: PT

Location Address4510 VIEWRIDGE AVESan Diego, CA 92123-1637

Mailing Address2509 Arnott StSan Diego, CA 92110-1152 · (619) 276-7980

Phone(858) 694-4922

Sole ProprietorYes

Enumeration DateJune 25, 2007

Last NPPES UpdateNovember 19, 2021

NPPES CertifiedNovember 19, 2021

✔ NPI 1487850558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251X0800X

License✔ Licensed in CA · 14066

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.

4510 VIEWRIDGE AVE, San Diego, CA 92123

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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. HOLLY RENAE BLOOMQUIST DPT

Physical Therapist (Pediatrics)