Antoinette Vastenburg, PT | |
4150 Darley Ave, Suite8, Boulder, CO 80305-6557 | |
(303) 494-4100 | |
Not Available |
Full Name | Antoinette Vastenburg |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 4150 Darley Ave, Boulder, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205960234 | NPI | - | NPPES |
64770095 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3608 (Colorado) | Primary |
2251S0007X | Physical Therapist - Sports | 3608 (Colorado) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Active Solutions Physical Therapy, P.c. | 8224011721 | 3 |
Provider Name | Active Solutions Physical Therapy, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013940808 PECOS PAC ID: 8224011721 Enrollment ID: O20040607001507 |
Mailing Address | Practice Location Address |
---|---|
Antoinette Vastenburg, PT 470 Gold Run Rd, Boulder, CO 80302-8743 Ph: (303) 447-9312 | Antoinette Vastenburg, PT 4150 Darley Ave, Suite8, Boulder, CO 80305-6557 Ph: (303) 494-4100 |
John D Reed, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3000 Center Green Dr Ste 110, Boulder, CO 80301 Phone: 303-413-9903 Fax: 303-413-9907 | |
Mrs. Abigail Calkins Beattie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5350 Manhattan Cir, #100, Boulder, CO 80303 Phone: 303-543-1201 Fax: 303-543-1206 | |
Charlene M Urbancic, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3434 47th St, Suite 100, Boulder, CO 80301 Phone: 615-778-4066 | |
Carol Cropp, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2935 Baseline Rd Ste 300, Boulder, CO 80303 Phone: 303-444-2951 | |
Christine D Ringdahl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-338-4545 | |
Chelsea A Speck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3034 Fax: 303-402-1665 | |
North Boulder Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3034 Fax: 303-402-1665 |