Kayleigh Alexis Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305174 Issued in CA

Practice address

2260 Tapo St Ste B117
Simi Valley, CA 93063-3022

Phone

(805) 765-4773

Fax

(805) 392-9975

NPI assigned

Nov 9, 2023

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.

• Two Trees Physical Therapy & Wellness Inc

  dba Two Trees Ortho

  • Physical Therapist
  • Ventura, CA
  • NPI 1205453305
  NPD
• Two Trees Physical Therapy & Wellness Inc

  dba Two Trees Physical Therapy

  • Physical Therapist
  • Ventura, CA
  • NPI 1770830325
  NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1255105219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 TAPO ST STE B117",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633022",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 TAPO ST STE B117",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633022",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25652 Salceda Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913552215",
            "country_code": "US",
            "telephone_number": "916-206-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAYLEIGH",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Williams
• Nickesha Williams
• Laura A Willis, D.C.
• Brady Pearson Willmon
• Willowembrace Home Care Services LLC
• Phyllis T Wilson, MFT
• Deborah Louise Winters
• Randy R. Wirtz
• Rebecca Renee Wittman
• Deborah W Wollum, DC

• Physical Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.