Active NPI
Sheila Wiebens
- Physical Therapy Assistant
- Culver City, CA
National Provider Identifier
1154712024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT9197
- Practice address
- 6545 Green Valley Cir Unit 107
Culver City, CA 90230-8092 - Phone
- (310) 384-8218
- NPI assigned
- Feb 12, 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 Therapy Assistant | 225200000X | AT9197 | CA | Primary |
Addresses
Primary practice location
6545 Green Valley Cir Unit 107
Culver City, CA 90230-8092
Mailing address
Goldenville Subdivision Banawa,
Cebu City, CEBU 6000
PH
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT9197 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1154712024",
"addresses": [
{
"country_code": "PH",
"country_name": "Philippines",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "GOLDENVILLE SUBDIVISION BANAWA,",
"city": "CEBU CITY",
"state": "CEBU",
"postal_code": "6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6545 GREEN VALLEY CIR UNIT 107",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902308092",
"telephone_number": "310-384-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEBENS",
"first_name": "SHEILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT9197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.