Alexandra Holmes

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4061279 Issued in ID

Practice address

8827 N Government Way Unit 102
Hayden, ID 83835-8231

Phone

(208) 243-9335

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By 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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevated Physical Therapy and Wellness LLCGroup PAC ID 7618339359, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elevated Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Hayden, ID
  • NPI 1932894284

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1669202917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 N GOVERNMENT WAY UNIT 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358231",
            "telephone_number": "208-243-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 N GOVERNMENT WAY UNIT 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358231",
            "telephone_number": "208-243-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "4061279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Henderson, NP
• Cherish Hill, LCSW
• Sheryl Brianne Hill, MA
• Sarah E Hlebichuk, LCSW
• Ngoc Hoang, PHARM.D
• Honor Therapeutics
• Hope Reins Transport
• Melissa Hostler, RDN, LD
• Kathleen Howard
• Stacey A Howard, LCSW

• Physical Therapist in Hayden, ID
• Providers in Hayden, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.