TEEGAN JAY VANGHEEM DPT NPI 1174317150

NPI Information

  • NPI: 1174317150
  • Provider Name: TEEGAN JAY VANGHEEM, DPT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 3021 VOYAGER DR
    GREEN BAY, WI
    ZIP 54311
  • Phone: (920) 496-4700

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NPI Details

Teegan Jay Vangheem, DPT is an orthopedic physical therapist in Green Bay, WI with 1 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Teegan Jay Vangheem, DPT NPI is 1174317150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3021 VOYAGER DR
GREEN BAY, WI
ZIP 54311-303
Phone: (920) 496-4700

The enumeration date for this NPI number is 4/7/2025 and was last updated on 8/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist17342-24WISCONSINNo
22251X0800XPhysical TherapistOrthopedic17342-24WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100329204MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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