Alexander Scott Fandrich, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60888022 Issued in WA

Practice address

22526 SE 64TH PL Ste 140
Issaquah, WA 98027-5368

Phone

(425) 270-3238

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waypoint Pediatric Therapies

  • Physical Therapist
  • Issaquah, WA
  • NPI 1184996803
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1073093431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22526 SE 64TH PL STE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275368",
            "telephone_number": "425-270-3238",
            "fax_number": "425-651-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22526 SE 64TH PL STE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275368",
            "telephone_number": "425-270-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18504 Bothell Way NE",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980111927",
            "country_code": "US",
            "telephone_number": "425-481-1933 x4",
            "fax_number": "425-527-6948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANDRICH",
        "first_name": "ALEXANDER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60888022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH WASHINGTON",
            "identifier": "PT60888022",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Institute, PC
• Evangelia Nicole Facchine, RD CD
• Ryan Face, DPT
• Jean Elizabeth Falls, LMHC WASHINGTON
• Kathryn K.O. Falso, PT
• Saman Faramarzi
• Dana Eileen Fare, OT
• Joan Fargo, OTR
• Jaimi Faris
• Andrea L Farmer

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.