Individual provider Active NPI

Alexa E Holmly

  • Physical Therapist
  • Freeland, WA
National Provider Identifier
1396466918
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5575 Harbor Ave Ste 103
Freeland, WA 98249-3007
Phone
(360) 331-0141
Fax
(360) 331-0142
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5575 Harbor Ave Ste 103
Freeland, WA 98249-3007

Mailing address

PO Box 727
Freeland, WA 98249-0727
Phone (360) 331-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025002356 WA Practitioner - Physical Therapist in Private Practice 8527434000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whidbey Performance Physical Therapy PLLCGroup PAC ID 8325354863, 6 clinicians

Practice addresses (Care Compare)

5575 Harbor Ave
Suite 103
Freeland, WA 98249-3007
Phone (360) 331-0141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Performance Physical Therapy, PLLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients

Locations

5575 Harbor Ave
Ste 103
Freeland, WA 98249
Phone (206) 276-0371

Organizations & group practices 1

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1396466918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982490727",
            "telephone_number": "360-331-0141",
            "fax_number": "360-331-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 HARBOR AVE STE 103",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982493007",
            "telephone_number": "360-331-0141",
            "fax_number": "360-331-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMLY",
        "first_name": "ALEXA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.