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

Kristopher Jay Vanderwall, DPT

Individual provider Physical Therapist · NPI 1275797185

Kristopher Jay Vanderwall, DPT is a Physical Therapist in Private Practice in Seville, Ohio. Qualified in 2008, 18 years ago. Practices with Health and Occupational Preventative Solutions Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Alabama and Ohio.

Years since qualifying
18
Licensed in
AL, OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

265 Center St
Seville, OH 44273-8864
Phone: (330) 769-4677
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT.014382 (OH)
Physical Therapist Taxonomy 225100000X · Licence PTH5321 (AL)

Record details

NPI number1275797185
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESDecember 17, 2013
Mailing address265 Center St, Seville, OH 44273-8864

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Health And Occupational Preventative Solutions Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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