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

Mr. John J. Vanderbilt Jr., MPT

Individual provider Physical Therapist · NPI 1679657985

Mr. John J. Vanderbilt Jr., MPT is a Physical Therapist in Private Practice in Roseville, California. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

107 S Harding Blvd Ste B
Roseville, CA 95678-3354
Phone: (916) 879-7867
Fax: (916) 435-4970
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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 0PT24958 (CA)

Record details

NPI number1679657985
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated

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