Wyllow Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WYLLOW PHYSICAL THERAPY INC

Practice address

25 W Anapamu St Ste B
Santa Barbara, CA 93101-5151

Phone

(805) 514-2010

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Laura Herget, DPTNPI 1740704592

Title

President

Phone

(805) 514-2010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Herget, DPT

  • Physical Therapist
  • Santa Barbara, CA
  • NPI 1740704592
  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1003671157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST # 7253",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W ANAPAMU ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931015151",
            "telephone_number": "805-514-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLLOW PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "HERGET",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-514-2010",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Wunsch
• Angela Renee Wurtzel, M.A., M.F.T
• Stella Wuttke
• Su Robyn Wyatt, FNP
• Alyson Wycoff
• Zhiyao Xiao
• Anita Lillian Xu, DO
• Camilla Yahyaoui, MACP
• Abdul Yahyavi, PHARM D
• Andre Yahyavi, PHARMD

• Physical Therapist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.