DR. ROELOF A. VAN DER MEULEN (NPI# 1083830996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083830996 |
| Entity Type | Individual |
| Full Name | DR. ROELOF A. VAN DER MEULEN |
| Credential | DPT, ECS |
| Practice Address |
4701 Simona Rd Knoxville TN 37918-4535 |
| Practice Telephone | 8657763757 |
| Mailing Telephone | 8657763757 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
4175 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE | 4175 | 01 |
| TN | 3654099 | 05 | |
| TN | LEGACY GROUP | 3717547 | 01 |
| Street Address |
4701 SIMONA RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124364245 | Neurosolutions, LLC | Physical Therapist | 4701 Simona Rd, Knoxville, TN 37918-4535 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| Taxonomy Code | 2251E1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Electrophysiology, Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871626895 | East Tennessee Emg, Inc. | Physical Therapist | 614 Mabry Hood Road, Suite #301, Knoxville, TN 37932 | 2007-03-13 |
| 1578695912 | Daniel Knorr | Physical Therapist | 614 Mabry Hood Rd, Ste 301, Knoxville, TN 37932-2669 | 2007-03-12 |
| 1124364245 | Neurosolutions, LLC | Physical Therapist | 4701 Simona Rd, Knoxville, TN 37918-4535 | 2012-12-18 |
| 1548486368 | Raymond E Humpries | Physical Therapist | 317 Ebenezer Rd, Knoxville, TN 37923-5310 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003995838 | Kathleen Mary Galloway | Physical Therapist | 105 Cherokee Rd, Nashville, TN 37205-1815 | 2006-11-03 |
Please comment or provide details below to improve the information on DR. ROELOF A. VAN DER MEULEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.