Alison Wiley

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49342 Issued in CA

Practice address

3662 Katella Ave Ste 105
Los Alamitos, CA 90720-3180

Phone

(562) 799-4494

Fax

(562) 280-0304

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Activbody Physical Therapy Inc

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1114950557
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1013400712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141923",
            "telephone_number": "562-756-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203180",
            "telephone_number": "562-799-4494",
            "fax_number": "562-280-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19531 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482902",
            "country_code": "US",
            "telephone_number": "714-960-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jay Wexler, MD
• Malinda Jo Wheeler, APRN
• Daniel D Wicorek, D.D.S.
• Edward Paul Wicorek, DDS
• Wil Untalan Jr. Chiropractic Inc.
• William C Poe V DDS Inc
• William P Aiello MD Inc
• Daniel Dean Williams, MFT
• Diana Lynne Williams, FNP
• Meghan Williams, M.A.,LMFT

• Physical Therapy Assistant in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.