Mr Kelly Gerrit Vredeveld, PT, DPT in Prescott Valley, AZ

Mr Kelly Gerrit Vredeveld, PT, DPT is a medicare enrolled "Physical Therapist" provider in Prescott Valley, Arizona. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Canyon Physical Therapy And Aquatic Rehabilitation, P.l.l.c. and his current practice location is 2852 N Navajo Dr Ste A, Prescott Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 772-9797.

Mr Kelly Gerrit Vredeveld is licensed to practice in Arizona (license number 5810) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588602874.

Contact Information

	Mr Kelly Gerrit Vredeveld, PT, DPT
	2852 N Navajo Dr Ste A, Prescott Valley, AZ 86314-4966
	(928) 772-9797
	(928) 772-9340

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kelly Gerrit Vredeveld
Gender	Male
Speciality	Physical Therapy
Experience	22 Years
Location	2852 N Navajo Dr Ste A, Prescott Valley, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kelly Gerrit Vredeveld graduated from medical school in 2002

NPI Data:

NPI Number: 1588602874
Provider Enumeration Date: 06/02/2006
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6406843903
Enrollment ID: I20040427001307

Medical Identifiers

Medical identifiers for Mr Kelly Gerrit Vredeveld such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588602874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5810 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Canyon Physical Therapy And Aquatic Rehabilitation, P.l.l.c.	0749292258	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kelly Gerrit Vredeveld allows following entities to bill medicare on his behalf.

Provider Name	Canyon Physical Therapy And Aquatic Rehabilitation, P.l.l.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831149913 PECOS PAC ID: 0749292258 Enrollment ID: O20060628000088

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kelly Gerrit Vredeveld is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kelly Gerrit Vredeveld, PT, DPT 2852 N Navajo Dr Ste A, Prescott Valley, AZ 86314-4966 Ph: (928) 772-9797	Mr Kelly Gerrit Vredeveld, PT, DPT 2852 N Navajo Dr Ste A, Prescott Valley, AZ 86314-4966 Ph: (928) 772-9797

Reviews and Comments

Physical Therapist in Prescott Valley, AZ

Scott Madsen, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3075 N Windsong Dr, Suite C, Prescott Valley, AZ 86314 Phone: 928-775-9500
Jonathan Jay Tipton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-775-9999 Fax: 928-775-9998
Mr. Israel Albarran, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2852 N Navajo Dr Ste A, Prescott Valley, AZ 86314 Phone: 928-772-9797 Fax: 928-772-9340
Jericho Barela, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8400 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-775-9999 Fax: 928-775-9998
Dr. Jodi R Gilray, PT, DPT, C/NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6550 E 2nd St Ste B, Prescott Valley, AZ 86314 Phone: 928-771-9327 Fax: 928-771-9519
Jesus Gaquing Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3380 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-759-6545
Emma Catherine Barnes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6550 E 2nd St Ste B, Prescott Valley, AZ 86314 Phone: 928-771-9327

Mr Kelly Gerrit Vredeveld, PT, DPT - Medicare Physical Therapist in Prescott Valley, AZ