Wilma Rodeen, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT22161 Issued in CA

Practice address

26639 Valley Center Dr
Ste. 101
Santa Clarita, CA 91351-2357

Phone

(661) 254-1842

Fax

(661) 254-1862

NPI assigned

Jul 16, 2009

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

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1104056712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26639 VALLEY CENTER DR",
            "address_2": "STE. 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512357",
            "telephone_number": "661-254-1842",
            "fax_number": "661-254-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26639 VALLEY CENTER DR",
            "address_2": "STE. 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512357",
            "telephone_number": "661-254-1842",
            "fax_number": "661-254-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEEN",
        "first_name": "WILMA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT22161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.