Active NPI
Cynthia Wiley
- Physical Therapy Assistant
- Albuquerque, NM
National Provider Identifier
1013375252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-1193
- Practice address
- 1509 University Blvd NE
Albuquerque, NM 87102-1708 - Phone
- (505) 243-2257
- NPI assigned
- Feb 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-1193 | NM | Primary |
Addresses
Primary practice location
1509 University Blvd NE
Albuquerque, NM 87102-1708
Mailing address
3028 Zia St NE
Rio Rancho, NM 87144-5344
Phone (505) 401-9972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1193 | NM | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1013375252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 ZIA ST NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871445344",
"telephone_number": "505-401-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 UNIVERSITY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021708",
"telephone_number": "505-243-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NM",
"license": "A-1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.