Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679065411 Individual Practitioner Male Practitioner

Clay Vandenberg , OTA

Orthopaedic Surgery • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Clay Vandenberg, OTA is a registered healthcare professional specializing in Orthopaedic Surgery in Saint Augustine, FL. Practice services are available at 1 ORTHOPAEDIC PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Orthopaedic Pl

Saint Augustine, FL 320864202

Telephone 9048250540
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Saint Augustine, FL (1597 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL 1770020919

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. David Eldridge , DPT

Physical Therapist

NPI 1013319540

Doctor of Physical Therapy

Dr. Adam Mcmullen , DPT

Physical Therapist - Orthopedic

NPI 1043640477

Doctor of Physical Therapy

Brian Emerson , NP-C

Nurse Practitioner - Family

NPI 1093218968

Nurse Practitioner (Certified)

Carla Kimps , OTR LCHT

Occupational Therapist - Hand

NPI 1134158777

OTRLCHT

Joseph Rice , PA-C

Physician Assistant - Surgical

NPI 1154446631

Physician Assistant (Certified)

Jacob Fouts , PT

Physical Therapist

NPI 1194084921

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2018

Registered at 1 ORTHOPAEDIC PL, SAINT AUGUSTINE, FL 320864202 (Tel: 9048250540)

📍
Updated Business Mailing Address June 06, 2018

Registered at 1756 S CLYDE MORRIS BLVD APT 1008, DAYTONA BEACH, FL 321199035 (Tel: 9738004220)

👤
Provider Name / Credentials Updated June 06, 2018

Recorded as CLAY VANDENBERG, OTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Orthopaedic Surgery (License #1770020919 in FL)

🟢
Initial NPI Registration & Enumeration June 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679065411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2018
Last Update: June 06, 2018
Sole Proprietor: Yes

Mailing Address

1756 S Clyde Morris Blvd Apt 1008

Daytona Beach, FL 321199035

Phone: 9738004220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.