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ILANA NICOLE KELLOGG WAASDORP PT, DPT
NPI 1720425549
Physical Therapist - Pediatrics in Roanoke, VA

Active since June 03, 2013
1421 3RD ST SW, ROANOKE, VA 24016(303) 900-3457 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ilana Nicole Kellogg Waasdorp Pt, Dpt NPPES

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

ILANA NICOLE KELLOGG WAASDORP PT, DPT (NPI 1720425549) is an individual pediatrics provider in Roanoke, Virginia, licensed in Virginia (2305212941) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1720425549
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameILANA NICOLE KELLOGG WAASDORPCredential: PT, DPT
Location Address1421 3RD ST SWRoanoke, VA 24016-5204
Mailing Address1421 3rd St SwRoanoke, VA 24016-5204 · (303) 900-3457
Phone(303) 900-3457
Sole ProprietorYes
Enumeration DateJune 3, 2013
Last NPPES UpdateJanuary 2, 2020
✔ NPI 1720425549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in VA · 2305212941
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License PTL.0012174 (CO)
1421 3RD ST SW, Roanoke, VA 24016
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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.

NEELESH N. SHAH PTA
Physical Therapy Assistant
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208
CYNTHIA L BOLLING OTR
Occupational Therapist
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208
JENNIFER C LORMAN SLP
Speech-Language Pathologist
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208
MARIA A RUSHBROOKE PTA
Physical Therapy Assistant
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208
CHARLENE M OVERSTREET SLP
Speech-Language Pathologist
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208
JULIA E. WIMMER PTA
Physical Therapy Assistant
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208
MISS MARY PAGE WATTS OTR/L
Occupational Therapist (Pediatrics)
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208
RACHEL SHEFFEY
Speech-Language Pathologist
1421 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 982-2208

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 Ilana Waasdorp's NPI number?

The NPI number for Ilana Waasdorp is 1720425549. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Ilana Waasdorp located?

Ilana Waasdorp practices at 1421 3rd St SW, Roanoke, VA 24016. The listed phone number is (303) 900-3457.

What is Ilana Waasdorp's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Ilana Waasdorp was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.