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

Dr. Jeremy Jensen Vanduluitgaarden

Individual provider Orthopedic Physical Therapist · NPI 1548924061

Dr. Jeremy Jensen Vanduluitgaarden is a Physical Therapist in Private Practice in Lockport, New York. Qualified in 2021, 5 years ago. Practices with University of Maryland Orthopaedic Associates PA, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021

Practice location Address checks out

6000 Brockton Dr
Lockport, NY 14094-9273
Phone: (716) 282-2888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 047585 (NY)

Record details

NPI number1548924061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 30, 2021
Last updated in NPPESOctober 30, 2021
Certification dateOctober 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Maryland Orthopaedic Associates Pa — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lockport