Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brent Vanderzyl, ATC, LAT

Individual provider Athletic Trainer · NPI 1780816512

Brent Vanderzyl, ATC, LAT is a Physical Therapist in Private Practice in Kissimmee, Florida. Qualified in 2013, 13 years ago. Practices with Beyond Basics Physical Therapy LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

190 E Cedarwood Cir
Kissimmee, FL 34743-9070
Phone: (407) 791-2366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL2701 (FL)

Record details

NPI number1780816512
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Beyond Basics Physical Therapy Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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