Danielle Theone Wiswall, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26136 Issued in CA

Practice address

177 Vulcan Dr
Lompoc, CA 93436

Phone

(805) 733-7500

Fax

(805) 733-7510

NPI assigned

Dec 2, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Physical Therapy, IncorporatedGroup PAC ID 8820280126, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Focus Physical Therapy, Incorporated

  • Physical Therapist
  • Lompoc, CA
  • NPI 1891014510
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215911235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 VULCAN DR",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-733-7500",
            "fax_number": "805-733-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 VULCAN DR",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-733-7500",
            "fax_number": "805-733-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISWALL",
        "first_name": "DANIELLE",
        "middle_name": "THEONE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SBHI",
            "identifier": "PT0261360",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "PT0261360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Ann Marie Williams
• April Wilson, LCSW
• Winds of Change Marriage and Family Counseling Center, Inc
• Juliane Wise, MSW
• Sterling Wise, RPH
• Yvonne Wolny, MD
• Derrick B Wong, D.M.D
• Tamera Madeline Wong, BCBA
• Melinda G Wood
• Tyler Elliott Woosley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.