Anjana Wilkerson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT259B7 Issued in CA

Practice address

2550 E Ama Road
Suite A1B
Covina, CA 91792

Phone

(626) 337-6335

Fax

(626) 337-6365

NPI assigned

Sep 30, 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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Sports Rehabilitation Inc.Group PAC ID 0941258156, 7 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.

• Southern California Sports Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1568548279
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265525638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 EAST DYER RD",
            "address_2": "SUITE 311",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "949-863-0022",
            "fax_number": "949-863-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E AMA ROAD",
            "address_2": "SUITE A1B",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "626-337-6335",
            "fax_number": "626-337-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "ANJANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT259B7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT25987A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alma F. Whitsitt, LMFT
• Jonathan Maurice Wicks, ASW
• Josephine Widjaja
• Mary Ellen Wiesenfarth Simone
• Tammy Leryse Wigington
• Akil Kendall Williams
• Coltia Corleas Williams
• Darinisha Williams
• James Garner Williams, MD
• Jasiah Williams

• Physical Therapist in Covina, CA
• Providers in Covina, 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.