Active NPI
Alexa E Holmly
- Physical Therapist
- Freeland, WA
National Provider Identifier
1396466918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whidbey Performance Physical Therapy, PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Freeland, WA
- NPI 1215324835
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.