Kalli Ann Wilkens

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299139 Issued in CA

Practice address

930 S Mount Vernon Ave Ste 400
Colton, CA 92324-3928

Phone

(909) 370-3396

Fax

(909) 783-4288

NPI assigned

Oct 21, 2020

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)

Enrolled

Practice roles

Locations

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.

• West Coast Spine Restoration Center, Inc

  • Physical Therapist
  • Riverside, CA
  • NPI 1992887616
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1194324178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10016",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923753216",
            "telephone_number": "909-883-5069",
            "fax_number": "909-883-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S MOUNT VERNON AVE STE 400",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243928",
            "telephone_number": "909-370-3396",
            "fax_number": "909-783-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENS",
        "first_name": "KALLI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyantha Wickramanayake
• Katlin Wieselthier, DO
• Sarah Wilberforce-Aryee
• Destiny Nicole Wilford
• Madison Cole Wilhelm, MD
• Mallory Katherine Willenborg, PA-C
• Sarah Williams-Hardy
• Adriana Marissa Williams, MD
• Andrea Williams
• Christine L Williams

• Physical Therapist in Colton, CA
• Providers in Colton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.