Agnes Leonia Van De Put, PT
Physical Therapist · Sebastopol, CA
Agnes Leonia Van De Put, PT is a physical therapist with a practice address in Sebastopol, California, and NPI 1588812721, issued on Aug 29, 2008. Check the license (California 25323, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Agnes Leonia Van De Put
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- 25323 CA
2160 HI
Self-reported in NPPES; status is on the state search - Practice location
- 6914 Sebastopol Ave, Sebastopol, CA 95472
- Phone
- (707) 327-0998
- Enumerated
- Aug 29, 2008
- Record last updated
- Sep 6, 2023
- Medicare enrollment
- Enrolled (PECOS I20230927001881); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 22,531 in California → Look up another NPI →
Also registered at 6914 Sebastopol Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nicole O'Brien, MA, LMFTMarriage & Family Therapist1023328796
Verify Agnes Leonia Van De Put in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 25323Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Agnes Leonia Van De Put among 22,531 physical therapist records in California
Agnes Leonia Van De Put, PT is one of 22,531 physical therapist records with a practice address in California. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2008, is newer than 27% of them.
- NPI issued2008 · 27% of these records are older, 69% newer
- In a Medicare fileNo · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated2018 · median 2017 among the 7,751 with a school on file
- Record last updated2023 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
14 physical therapist records list a practice address in Sebastopol
They are 14 of the 550 NPPES records with a practice address in Sebastopol, and 22,531 physical therapist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 22,531 in California → Every provider in Sebastopol → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Olivia Barry, P.T.Sebastopol, CA 954721336473693
- Teresa Burk, P.T.Sebastopol, CA 954721245519248
- Emileigh Harrington, PT, DPT, OCSSebastopol, CA 954721467996009
- Samantha Jacobs, M.S.P.T.Sebastopol, CA 954721306988712
- Jorgeanne Labou, P.T.Sebastopol, CA 954721821285651
- Patricia Martinez, P.T.Sebastopol, CA 954721326180175
- Elyse McCluskey, PTSebastopol, CA 954721316462633
- Kathy McConnell, PTSebastopol, CA 954721265760136
Common questions
What is Agnes Leonia Van De Put, PT's NPI number?
Agnes Leonia Van De Put, PT's National Provider Identifier (NPI) is 1588812721, issued on Aug 29, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Agnes Leonia Van De Put, PT located?
The NPPES record lists a practice address at 6914 Sebastopol Ave, Sebastopol, CA, 95472. Phone: (707) 327-0998. Providers update this record themselves, so call before visiting.
How can I verify Agnes Leonia Van De Put, PT's license?
NPPES lists California license number 25323, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.