Antoinette Vastenburg, PT - Medicare Physical Therapist in Boulder, CO

Antoinette Vastenburg, PT is a medicare enrolled "Physical Therapist" provider in Boulder, Colorado. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Active Solutions Physical Therapy, P.c. and her current practice location is 4150 Darley Ave, Suite8, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 494-4100.

Antoinette Vastenburg is licensed to practice in Colorado (license number 3608) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205960234.

Contact Information

Antoinette Vastenburg, PT
4150 Darley Ave, Suite8,
Boulder, CO 80305-6557
(303) 494-4100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAntoinette Vastenburg
GenderFemale
SpecialityPhysical Therapy
Experience37 Years
Location4150 Darley Ave, Boulder, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Antoinette Vastenburg graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1205960234
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 03/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769644848
  • Enrollment ID: I20120507000689

Medical Identifiers

Medical identifiers for Antoinette Vastenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205960234NPI-NPPES
64770095MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 3608 (Colorado)Primary
2251S0007XPhysical Therapist - Sports 3608 (Colorado)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Active Solutions Physical Therapy, P.c.82240117213

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. Antoinette Vastenburg allows following entities to bill medicare on her behalf.
Provider NameActive Solutions Physical Therapy, P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013940808
PECOS PAC ID: 8224011721
Enrollment ID: O20040607001507

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. Antoinette Vastenburg 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 AddressPractice 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

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.