Individual provider Active NPI

Christian Vanderford, PT

  • Physical Therapist
  • Sandpoint, ID
National Provider Identifier
1770747404
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2378 Issued in ID
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.

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 3 clinicians

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Advanced Family Medicine PLLC CurrentSince Aug 23, 2021 Accepting new patients
Rehabauthority, LLC Physical Therapist CurrentSince Aug 21, 2017 Accepting new patients
Action Point Physical Therapy LLC Physical Therapist CurrentSince May 27, 2015 Accepting new patients
Physical Therapy Centers of Idaho CurrentSince Sep 20, 2017 Accepting new patients
RP Medical LLC CurrentSince Jan 1, 2023 Accepting new patients
Kauai in-Home Therapy LLC CurrentSince Oct 11, 2019 Accepting new patients
Action Point Physical Therapy LLC Current Accepting new patients
Mental Health Clinic of Idaho PLLC CurrentSince May 1, 2023 Accepting new patients
Spine Institute of Idaho P a PastSince Mar 18, 2002 Accepting new patients
Peregrine Physical Therapy LLC Physical Therapist PastSince Oct 24, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/10048/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT-2378 ID Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
PT-2378OtherIDLICENSE

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.

Verify at the official NPI Registry.