Active NPI
James L Alexander
- Physical Therapist
- Sedro Woolley, WA
National Provider Identifier
1700030475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1004
- Practice address
- 2000 Hospital Dr
Sedro-Woolley, WA 98284 - Phone
- (360) 856-7242
- NPI assigned
- Nov 7, 2008
- Last updated
- Nov 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | PT1004 | WA | Primary |
Addresses
Primary practice location
2000 Hospital Dr
Sedro-Woolley, WA 98284
Mailing address
14834 Channel Dr
La Conner, WA 98257
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1004 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1700030475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14834 CHANNEL DR",
"city": "LA CONNER",
"state": "WA",
"postal_code": "98257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HOSPITAL DR",
"city": "SEDRO-WOOLLEY",
"state": "WA",
"postal_code": "98284",
"telephone_number": "360-856-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JAMES",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT1004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.