Active NPI
Alexander N Vanderholm
- Physical Therapist
- Chelan, WA
National Provider Identifier
1447826706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 110 S Apple Blossom Dr
Chelan, WA 98816-8810 - Phone
- (509) 682-3300
- NPI assigned
- May 27, 2021
- Last updated
- Nov 25, 2024
- Sex
- Male
- 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
110 S Apple Blossom Dr
Chelan, WA 98816-8810
Mailing address
1139 Dry Lake Rd
Manson, WA 98831-9724
Phone (509) 319-9378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelan County Public Hospital District No 2 | Current | Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current | Accepting new patients | |
| Chelan County Public Hospital Dist No 2 | Current | Accepting new patients |
Locations
110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300
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.
-
dba Lake Chelan Community Hospital
- Critical Access Hospital
- Chelan, WA
- NPI 1831358696
-
dba Express Care Clinic Lake Chelan Health
- Rural Health Clinic/Center
- Chelan, WA
- NPI 1124438312
-
dba Lake Chelan Community Hospital
- Critical Access Hospital
- Chelan, WA
- NPI 1578568853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1447826706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 DRY LAKE RD",
"city": "MANSON",
"state": "WA",
"postal_code": "988319724",
"telephone_number": "509-319-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S APPLE BLOSSOM DR",
"city": "CHELAN",
"state": "WA",
"postal_code": "988168810",
"telephone_number": "509-682-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHOLM",
"first_name": "ALEXANDER",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelan, WA
- Elaina Toft, B.S., LMP, BCTMB
- Michael D.R. Travers, M.D.
- Trinitas Eldercare Specialty PC
- Valley Health and Wellness
- Valley Spinal Care LLC (Valley Spinal Care)
- Vision Source of Wenatchee, PS (Vision Source of Chelan)
- Heather Louise Vogel, RN
- Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-3754)
- John Thomas Wall, D.C.
- Walmart Inc. (Walmart Pharmacy 10-3754)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.