Individual provider Active NPI

Anthony Charles Alder, PA-C, DMS

  • Physician Assistant
  • West Valley, UT
National Provider Identifier
1083328850
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3725 W 4100 S Ste 107
West Valley, UT 84120-6063
Phone
(385) 402-7500
NPI assigned
Jan 6, 2023
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3725 W 4100 S Ste 107
West Valley, UT 84120-6063

Mailing address

3725 W 4100 S Ste 107
West Valley City, UT 84120-6063
Phone (385) 402-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908000449 DC Practitioner - Physician Assistant 0446614598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD CurrentSince May 30, 2023 Accepting new patients
Physical Medicine Associates, LTD CurrentSince May 30, 2023 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

24560 Southpoint Dr
Aldie, VA 20105
Phone (571) 277-2570

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

8501 Arlington Blvd
Ste 410
Fairfax, VA 22031
Phone (703) 738-4331

5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262

1750 Tysons Blvd
Ste 120
McLean, VA 22102
Phone (703) 556-9155

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1083328850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S STE 107",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841206063",
            "telephone_number": "385-402-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S STE 107",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841206063",
            "telephone_number": "385-402-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDER",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "credential": "PA-C, DMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

Verify at the official NPI Registry.