| Jacob Richard Vanhouten, PT, DPT | |
|
1187 N Mecklenburg Ave, La Crosse, VA 23950-1768 | |
| (434) 447-3322 | |
| Not Available |
| Full Name | Jacob Richard Vanhouten |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1187 N Mecklenburg Ave, La Crosse, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316561897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Services Of South Carolina, Llc | 3971639998 | 255 |
| Paragon Outpatient Rehabilitation Services Llc | 8022272848 | 166 |
| Provider Name | Fox Rehabilitation Services Of South Carolina, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294 |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20221012004094 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Richard Vanhouten, PT, DPT 117 Brookside Ln, South Hill, VA 23970-2426 Ph: () - | Jacob Richard Vanhouten, PT, DPT 1187 N Mecklenburg Ave, La Crosse, VA 23950-1768 Ph: (434) 447-3322 |
Dr. John Watson Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1755 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3151 | |
Mr. Chirag Y Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3322 | |
Dr. Harrison Neal Vaughan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3322 | |
Mr. Roger Karl Myers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3322 Fax: 434-447-3282 |