Active NPI
Margaret Vanderwaerden PT PLLC
- Physical Therapist
- Woodinville, WA
National Provider Identifier
1962440982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003250
- Legal business name
- MARGARET VANDERWAERDEN PT PLLC
- Practice address
- 17330 135TH Ave
Ste 1C
Woodinville, WA 98072 - Phone
- (425) 481-0236
- Fax
- (425) 481-8266
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margaret Vanderwaerden, PT
- Title
- Owner
- Phone
- (425) 481-0236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003250 | WA | Primary |
Addresses
Primary practice location
17330 135TH Ave
Ste 1C
Woodinville, WA 98072
Mailing address
17330 135TH Ave
Ste 1C
Woodinville, WA 98072
Phone (425) 481-0236
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7026115 | Medicaid | WA | |
| 8932336 | Other | WA STATE CRIME VICTIMS | |
| 49757 | Other | WA | L & I STATE WORKMANS COMP |
| AL0173 | Other | WA | REGENEE BLUE SHIELD |
Other names 1
- Alpha Physical Therapy
National Provider Directory
National Provider DirectoryLocations
17330 135th Ave NE
Ste 1C
Woodinville, WA 98072
Phone (425) 481-0236
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Yakima, WA
- NPI 1457304354
-
- Physical Therapist
- Mukilteo, WA
- NPI 1962520361
-
- Physical Therapist
- Woodenville, WA
- NPI 1487692497
-
- Physical Therapist
- Renton, WA
- NPI 1568417632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1962440982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17330 135TH AVE",
"address_2": "STE 1C",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "98072",
"telephone_number": "425-481-0236",
"fax_number": "425-481-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 135TH AVE",
"address_2": "STE 1C",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "98072",
"telephone_number": "425-481-0236",
"fax_number": "425-481-8266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARGARET VANDERWAERDEN PT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "VANDERWAERDEN",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-481-0236",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7026115",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE CRIME VICTIMS",
"identifier": "8932336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I STATE WORKMANS COMP",
"identifier": "49757",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENEE BLUE SHIELD",
"identifier": "AL0173",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alpha Physical Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.