Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Russell Allen Vande Vegte, PT

Individual provider Orthopedic Physical Therapist · NPI 1487850558

Mr. Russell Allen Vande Vegte, PT is an Orthopedic Physical Therapist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4510 Viewridge Ave
San Diego, CA 92123-1637
Phone: (858) 694-4922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 14066 (CA)

Record details

NPI number1487850558
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 25, 2007
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

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