Individual provider Active NPI

Robyn Wilhelm, PT, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1114112778
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7815 Issued in AZ
Practice address
2651 W Guadalupe Rd
Suite #106
Mesa, AZ 85202-7249
Phone
(602) 316-0571
Fax
(480) 247-5510
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7815 AZ Primary

Addresses

Primary practice location

2651 W Guadalupe Rd
Suite #106
Mesa, AZ 85202-7249

Mailing address

2651 W Guadalupe Rd
Suite #106
Mesa, AZ 85202-7249
Phone (602) 316-0571

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1114112778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 W GUADALUPE RD",
            "address_2": "SUITE #106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027249",
            "telephone_number": "602-316-0571",
            "fax_number": "480-247-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 W GUADALUPE RD",
            "address_2": "SUITE #106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027249",
            "telephone_number": "602-316-0571",
            "fax_number": "480-247-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "ROBYN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.