Active NPI
Kara Wickeraad, DPT, ATC
- Physical Therapist
- San Diego, CA
National Provider Identifier
1063887560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42951
- Practice address
- 3145 Rosecrans St Ste F
San Diego, CA 92110-4831 - Phone
- (619) 223-7175
- NPI assigned
- Dec 9, 2015
- 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 Therapist | 225100000X | 42951 | CA | Primary |
Addresses
Primary practice location
3145 Rosecrans St Ste F
San Diego, CA 92110-4831
Mailing address
3145 Rosecrans St Ste F
San Diego, CA 92110-4831
Phone (619) 223-7175
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1063887560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 ROSECRANS ST STE F",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104831",
"telephone_number": "619-223-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 ROSECRANS ST STE F",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104831",
"telephone_number": "619-223-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKERAAD",
"first_name": "KARA",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.