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

Individual provider Physical Therapist · NPI 1174317150

Teegan Jay Vangheem, DPT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2025, 1 year ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
Specialties on file
2
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

3021 Voyager Dr
Green Bay, WI 54311-8303
Phone: (920) 496-4700
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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 17342-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 17342-24 (WI)

Record details

NPI number1174317150
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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