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

Lillian R Van Gelderen

Individual provider Physical Therapy Assistant · NPI 1932812674

Lillian R Van Gelderen is a Physical Therapy Assistant in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

1423 W Centre Ave
Portage, MI 49024-5323
Phone: (269) 323-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502008525 (MI)

Record details

NPI number1932812674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2022
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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