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

Mrs. Courtney Dawn Vandervoort, DPT

Individual provider Physical Therapist · NPI 1174006613

Mrs. Courtney Dawn Vandervoort, DPT is a Physical Therapist in Private Practice in Wichita, Kansas. Qualified in 2018, 8 years ago. Practices with Pure Movement Integrated Health Center LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Licensed in
KS
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9360 E Central Ave Ste 100
Wichita, KS 67206
Phone: (316) 636-4410
Fax: (316) 636-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 W Greenway St, Derby, KS 67037-2641 — (316) 788-6734

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-06026 (KS)

Record details

NPI number1174006613
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pure Movement Integrated Health Center Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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