Alexandra Van Damme, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

6876 Issued in CO

Practice address

19121 E Crestridge Circle
Aurora, CO 80015

Phone

(720) 352-0443

Fax

(720) 870-5642

NPI assigned

Oct 3, 2006

Last updated

Jul 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids on the Go LLC

  • Pediatric Physical Therapist
  • Aurora, CO
  • NPI 1316913189

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1629162474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19121 E CRESTRIDGE CIRCLE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80015",
            "telephone_number": "720-352-0443",
            "fax_number": "720-870-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19121 E CRESTRIDGE CIRCLE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80015",
            "telephone_number": "720-352-0443",
            "fax_number": "720-870-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAMME",
        "first_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "6876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28654340",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jode Monique Vallejos, PA-C
• Ralynn Dawn Maejen Vallejos
• Valley Modern Dentists, LLP (Valley Modern Dentists)
• Thomas Sebastian Valley, MD
• Jeanne Marie Van Cleave, M.D.
• Jean Van de Polder, M.D.
• Kristen Van de Velde, CRNA
• Margaret Van Der Bosch, MD
• Ashleigh Van Deusen, MD
• Alison Van Diggelen, MSW

• Pediatric Physical Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Pediatric Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.