Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Dana F Van der Kieft, PT

Individual provider Physical Therapist · NPI 1003871120

MS. Dana F Van der Kieft, PT is registered under Physical Therapist in Private Practice in Canby, Oregon. Qualified in 2004, 22 years ago. Practices with Action Potential LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
22
Licensed in
OR
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

308 N Ivy St
Canby, OR 97013-3704 Not confirmed with CMS for 17 years — call before visiting
Phone: (503) 263-6786
Fax: (503) 263-6451
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5156 (OR)

Record details

NPI number1003871120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESOctober 23, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Action Potential Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients66
Services billed 2,227 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Action Potential LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 17 clinicians in the practice; 12 are shown here.

Other providers in Canby