Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antoinette Vastenburg, PT

Individual provider Physical Therapist · NPI 1205960234

Antoinette Vastenburg, PT is a Physical Therapist in Private Practice in Boulder, Colorado. Qualified in 1987, 39 years ago. Practices with Active Solutions Physical Therapy, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
39
Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4150 Darley Ave SUITE8
Boulder, CO 80305-6557
Phone: (303) 494-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3608 (CO)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 3608 (CO)

Record details

NPI number1205960234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 2, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Active Solutions Physical Therapy, P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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