Diane Wing

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

520 N Prospect Ave
Suite 100
Redondo Beach, CA 90277-3041

Phone

(310) 376-9222

NPI assigned

Jul 7, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1255364147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 ANITA ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784705",
            "telephone_number": "310-376-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "address_2": "SUITE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773041",
            "telephone_number": "310-376-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT20291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Elena Williams, LMFT, ATR
• Kaegun Williams
• Kristen Kay Williams, M.S.W.
• Mark H Williams, O.D.
• Dane R Wimmer, MD
• Brenna Winkle, MFT
• Christine Winkler, PH.D. MFT
• Randy Jo Winston-Hillier, LMFT
• Carol Gulyas Wintrode, LMFT
• Glen Wishon, M.D.

• Orthopedic Physical Therapist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.