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

Mr. Edward V Van Dewater, MPTCSCS

Individual provider Physical Therapist · NPI 1083772529

Mr. Edward V Van Dewater, MPTCSCS is a Physical Therapist in Private Practice in Mount Pleasant, Wisconsin. Qualified in 2001, 25 years ago. Practices with Advanced Spine and Sport, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2006
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Practice location Address checks out

6222 Washington Ave
Mount Pleasant, WI 53406-3948
Phone: (262) 884-6418
Fax: (262) 884-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9822-024 (WI)

Record details

NPI number1083772529
Entity typeIndividual (Type 1)
GenderMale
Credentials MPTCSCS
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESNovember 21, 2021
Certification dateNovember 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Advanced Spine And Sport — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Pleasant