Zachary Wiley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA23006 Issued in FL

Practice address

8400 NW 193Rd LN
Hialeah, FL 33015-5317

Phone

(305) 733-3656

NPI assigned

Mar 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1053051995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 193RD LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155317",
            "telephone_number": "305-733-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NW 193RD LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155317",
            "telephone_number": "305-733-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "ZACHARY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "23006",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh White
• Anne M Whittaker, SLP
• Gabriel Antonio Widi, M.D.
• Jayanthi A Wikramanayake, MD
• Jacob Wiley
• Mercedes Williams Borrell, RBT
• Carol Dee Williams, LM
• Paula Carlin Williams, PA-C
• Roan Williams, M.D.
• Rolinda Williams

• Physical Therapy Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.