Organization Active NPI

Wings Physiotherapy, Inc.

  • Physical Therapy Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1073156964
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WINGS PHYSIOTHERAPY, INC.
Practice address
18231 US Highway 18 Ste 3
Apple Valley, CA 92307-2213
Phone
(909) 659-5708
Fax
(909) 913-4851
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Emily ReulNPI 1427531813
Title
President
Phone
(760) 221-5079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

18231 US Highway 18 Ste 3
Apple Valley, CA 92307-2213

Mailing address

688 Woodlawn Ave
San Bernardino, CA 92407-1026

Other practice location 1

688 Woodlawn Ave
San Bernardino, CA 92407-1026
Phone (909) 659-5708

Other practice location 2

10390 Commerce Center Dr # C170
Rancho Cucamonga, CA 91730-5858
Phone (909) 265-4963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210430001470 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315356417 Receives reassigned benefits from 3 practitioners
Practice locations: Apple Valley, CA; Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

18231 US Highway 18
Ste 3
Apple Valley, CA 92307
Phone (760) 221-5079

10390 Commerce Center Dr
Ste C170
Rancho Cucamonga, CA 91730
Phone (909) 265-4963

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1073156964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 WOODLAWN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18231 US HIGHWAY 18 STE 3",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072213",
            "telephone_number": "909-659-5708",
            "fax_number": "909-913-4851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924071026",
            "country_code": "US",
            "telephone_number": "909-659-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10390 Commerce Center Dr # C170",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305858",
            "country_code": "US",
            "telephone_number": "909-265-4963",
            "fax_number": "909-913-4851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINGS PHYSIOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "REUL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-221-5079"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.