Individual provider Active NPI

Alexander N Vanderholm

  • Physical Therapist
  • Chelan, WA
National Provider Identifier
1447826706
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
110 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone
(509) 682-3300
NPI assigned
May 27, 2021
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

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

OrganizationSpecialtyStatusNew patients
Chelan County Public Hospital District No 2 CurrentSince Jan 1, 2025 Accepting new patients
Chelan County Public Hospital District No 2 Current Accepting new patients
Chelan County Public Hospital Dist No 2 CurrentSince Jan 1, 2025 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.

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

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.

Verify at the official NPI Registry.