Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Holmes

Individual provider Physical Therapist · NPI 1669202917

Alexandra Holmes is a Physical Therapist in Private Practice in Hayden, Idaho. Qualified in 2024, 2 years ago. Practices with Elevated Physical Therapy and Wellness LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

8827 N Government Way Unit 102
Hayden, ID 83835-8231
Phone: (208) 243-9335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4061279 (ID)

Record details

NPI number1669202917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address8827 N Government Way Unit 102, Hayden, ID 83835-8231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Elevated Physical Therapy And Wellness Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hayden