Lucas Jacob Vanderlaan, PHYSICAL THERAPIST
NPI 1679010177ActiveIndividual· Physical Therapist· Berkley, MI
Physical Therapist (PHYSICAL THERAPIST) with Orthosport Physical Therapy and Athletic Rehabilitation Inc, practicing in Berkley, Michigan. Medicare paid $57,028 for services to 105 patients in 2024.
Overview
| NPI | 1679010177 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | No |
| NPI issued | Jan 23, 2017 |
| Last updated in NPPES | Jan 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501018017 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 2,970 across 10 procedure codes |
| Paid by Medicare | $57,028 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Orthosport Physical Therapy and Athletic Rehabilitation IncPetoskey, MI · 5 clinicians
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