BRENT VANDERZYL ATC, LAT
NPI 1780816512
Specialist/Technologist - Athletic Trainer in Kissimmee, FL

Q: What is Brent Vanderzyl's NPI number?

The NPI number for Brent Vanderzyl is 1780816512. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Q: What is Brent Vanderzyl's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Brent Vanderzyl was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 12, 2009Accepts Medicare Assignment

190 E CEDARWOOD CIR, KISSIMMEE, FL 34743(407) 791-2366 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Brent Vanderzyl Atc, Lat NPPES

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

BRENT VANDERZYL ATC, LAT (NPI 1780816512) is an individual athletic trainer provider in Kissimmee, Florida, licensed in Florida (AL2701) and active in the NPI registry since August 2009. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1780816512

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameBRENT VANDERZYLCredential: ATC, LAT

Location Address190 E CEDARWOOD CIRKissimmee, FL 34743-9070

Mailing Address190 E Cedarwood CirKissimmee, FL 34743-9070 · (407) 791-2366

Phone(407) 791-2366

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 12, 2009

✔ NPI 1780816512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · AL2701

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

190 E CEDARWOOD CIR, Kissimmee, FL 34743

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent Vanderzyl Atc, Lat is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830325489

PECOS Enrollment IDI20131204000522

Medicare Billing Reassignment

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

Beyond Basics Physical Therapy, LLC

150 mi

Physical Therapy

7201 B ADDISON RESERVE BLVD
Delray Beach, Fl, FL 33446

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1003224924 (407) 791-2366

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

2,728 services126 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

1,926 services122 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

1,107 services119 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

442 services89 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

422 services85 patients

Training for self-care or home management, each 15 minutes 97535

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

225 services80 patients

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 Brent Vanderzyl's NPI number?

The NPI number for Brent Vanderzyl is 1780816512. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Where is Brent Vanderzyl located?

Brent Vanderzyl practices at 190 E Cedarwood Cir, Kissimmee, FL 34743. The listed phone number is (407) 791-2366.

What is Brent Vanderzyl's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Brent Vanderzyl enrolled in Medicare?

Yes. Brent Vanderzyl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brent Vanderzyl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Vanderzyl reassigns Medicare benefits to Beyond Basics Physical Therapy, LLC (Delray Beach, Fl, FL). 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 Brent Vanderzyl'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 Brent Vanderzyl was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.