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

Gerrit Van Loon III, DC

Individual provider Physical Therapist · NPI 1053431965

Gerrit Van Loon III, DC is a Physical Therapist in Ithaca, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

103 Sharlene Rd
Ithaca, NY 14850-6315
Phone: (607) 277-1468
Fax: (607) 277-1468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 006650 (NY)
Physical Therapist Taxonomy 225100000X · Licence 8425 (NY)

Record details

NPI number1053431965
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

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