Organization Active NPI

Margaret Vanderwaerden PT PLLC

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1962440982
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003250 Issued in WA
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7026115MedicaidWA
8932336OtherWA STATE CRIME VICTIMS
49757OtherWAL & I STATE WORKMANS COMP
AL0173OtherWAREGENEE BLUE SHIELD

Other names 1

  • Alpha Physical Therapy Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.