Alexander Van Slyke

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

05013150A Issued in IN

Practice address

9783 E 116TH St # 245
Fishers, IN 46037-2822

Phone

(815) 278-2515

NPI assigned

Jan 17, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Marsh Monsters LLC

  • Pediatric Occupational Therapist
  • Fishers, IN
  • NPI 1407670680

  Pediatrics

  NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1942011994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S 15TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745606",
            "telephone_number": "616-826-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9783 E 116TH ST # 245",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460372822",
            "telephone_number": "815-278-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SLYKE",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05013150A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "05013150A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Valadez, LSW
• Maria K Valbuena, DMD
• Tyler Ann Vallandingham
• Iris M Vallier, LCSW
• Matthew T. Van Hoosen, PA
• Stephanie Van Slyke, OTD, OTR/L
• Jordan Van Tress
• Brian Vance, PT, DPT
• Courtney Vanderpoel
• Sarah Vann

• Pediatric Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Pediatric Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.