William Dykens Jr., PTA, CCS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49110 Issued in CA

Practice address

2719 Loker Ave W Ste a
Carlsbad, CA 92010-6679

Phone

(760) 918-9200

Fax

(760) 918-9203

NPI assigned

Feb 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Function for Life Physical Therapy, Inc.

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1568767309
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1144720418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 UNION ST UNIT 910",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013445",
            "telephone_number": "858-213-7558",
            "fax_number": "760-918-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 LOKER AVE W STE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106679",
            "telephone_number": "760-918-9200",
            "fax_number": "760-918-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKENS",
        "first_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "PTA, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANT",
            "identifier": "49110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Durschlag, N.P.
• Dusie Corporation
• Scott Dutton
• M. Teresa Campat Dwight
• Rosemae Alexanderia Dyer
• Lisa Dykes
• E Scott Sills, MD PHD
• Lydia Leilani Earles, AUD
• Christine Earley
• Tiffany Amber Ebersohl, P.A.

• Physical Therapy Assistant in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.