Active NPI
Christian Vanderford, PT
- Physical Therapist
- Sandpoint, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2378
- Practice address
- 606 N Fifth Ave
Sandpoint, ID 83864-1520 - Phone
- (208) 284-3597
- Fax
- (208) 718-6341
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Sandpoint, ID
- NPI 1821502204
ID, Physical Therapist
-
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1730159690
ID, Physical Therapist
-
- Rehabilitation Clinic/Center
- Sandpoint, ID
- NPI 1558049437
-
- Family Medicine Physician
- Kuna, ID
- NPI 1598822231
-
- Physical Therapy Clinic/Center
- Ponderay, ID
- NPI 1235649625
-
- Psychiatry Physician
- Boise, ID
- NPI 1215622048
-
- Urgent Care Clinic/Center
- Kahului, HI
- NPI 1982094652
-
- Physical Therapist
- Boise, ID
- NPI 1942128137
-
- Physical Therapy Clinic/Center
- Caldwell, ID
- NPI 1265602809
-
- Orthopaedic Surgery of the Spine Physician
- Meridian, ID
- NPI 1659380269
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Action Point Physical Therapy LLC
Practice addresses (Care Compare)
606 N 5TH Ave
Sandpoint, ID 83864-1520
Phone (208) 284-3597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080806000679 | ID | Practitioner - Physical Therapist in Private Practice | 7618041831 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Family Medicine PLLC | Current | Accepting new patients | |
| Rehabauthority, LLC | Physical Therapist | Current | Accepting new patients |
| Action Point Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Centers of Idaho | Current | Accepting new patients | |
| RP Medical LLC | Current | Accepting new patients | |
| Kauai in-Home Therapy LLC | Current | Accepting new patients | |
| Action Point Physical Therapy LLC | Current | Accepting new patients | |
| Mental Health Clinic of Idaho PLLC | Current | Accepting new patients | |
| Spine Institute of Idaho P a | Past | Accepting new patients | |
| Peregrine Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Rulin J. Hawks, PT, PLLC | Past | Accepting new patients |
Locations
2662 Wai Wai Pl
Ste 102
Kihei, HI 96753
Phone (808) 269-6626
1625 W State St
#100
Boise, ID 83702
Phone (208) 336-0017
8854 W Emerald St
Ste 280
Boise, ID 83704
Phone (208) 377-5005
120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142
720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709
745 S Progress Ave
Meridian, ID 83642
Phone (208) 895-0309
3919 E Overland Rd
Meridian, ID 83642
Phone (208) 506-3618
30544 Highway 200
Ponderay, ID 83852
Phone (208) 205-9559
606 N Fifth Ave
Sandpoint, ID 83864
Phone (208) 284-3597
102 S 1st Ave
Ste 201
Sandpoint, ID 83864
Phone (208) 263-1345
2605 N Boyer Ave
Sandpoint, ID 83864
Phone (208) 263-3100
Interoperability endpoints
- https://api.platform.athenahealth.com/10048/brand/1/csg/1/fhir/r4
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT-2378 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
606 N Fifth Ave
Sandpoint, ID 83864-1520
Mailing address
PO Box 2490
Sandpoint, ID 83864-0915
Phone (208) 284-3597
Other practice location 1
360 E Montvue Dr
Ste a
Meridian, ID 83642-6318
Phone (208) 855-2930
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-2378 | Other | ID | LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2023.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1770747404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2490",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838640915",
"telephone_number": "208-284-3597",
"fax_number": "208-718-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N FIFTH AVE",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641520",
"telephone_number": "208-284-3597",
"fax_number": "208-718-6341"
}
],
"practiceLocations": [
{
"address_1": "360 E Montvue Dr",
"address_2": "STE A",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426318",
"country_code": "US",
"telephone_number": "208-855-2930",
"fax_number": "208-895-8929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERFORD",
"first_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2023-07-10",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT-2378",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.