Doctor profile · Federal record

Dr. Agnes van de Put, PT

Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Sebastopol, CA

  • NPI 1588812721
  • Accepts Medicare
  • 8 yrs in practice
  • Licensed in 2 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6914 Sebastopol Ave
Sebastopol, CA 954723459
(707) 327-0998
Mailing address
7809 Stefenoni CT Unit A
Sebastopol, CA 954723536

Credentials & registration

NPPES · NUCC
NPI registered
August 2008 — 18 yrs on file
Profile last updated
September 6, 2023
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
225100000X — NUCC code
State licenses (2)
California #25323 · Hawaii #2160

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1588812721. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,608
Distinct HCPCS
7
Medicare allowed
$81,875
HCPCS Description Services Patients Avg allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 948 100 $32
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 692 93 $26
97140 Therapy procedure using manual technique, each 15 minutes 577 87 $23
97530 Therapy procedure using functional activities 223 64 $38
97162 Evaluation for physical therapy, typically 30 minutes 92 88 $111
29240 Placement of strapping to shoulder 38 11 $33
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 38 17 $10

In context: peer comparison

Among 2 peers in Sebastopol Physical Therapist, average services per provider: 343. This provider delivers 7.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Agnes van de Put's medical specialty?
Dr. Agnes van de Put practices Physical Therapist in Sebastopol, CA.
Where does Dr. Agnes van de Put practice?
Dr. Agnes van de Put practices at 6914 Sebastopol Ave, Sebastopol, CA 954723459. Office phone: 7073270998.
What is Dr. Agnes van de Put's NPI?
Dr. Agnes van de Put's National Provider Identifier (NPI) is 1588812721, issued by NPPES.
Does Dr. Agnes van de Put accept Medicare assignment?
Yes. Dr. Agnes van de Put accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Agnes van de Put commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.