Shelley Anita Wiggins, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160033195 Issued in WA

Practice address

560 Lebo Blvd
Bremerton, WA 98310-2617

Phone

(360) 479-1515

NPI assigned

Mar 16, 2015

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1285027201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102617",
            "telephone_number": "360-479-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102617",
            "telephone_number": "360-479-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "SHELLEY",
        "middle_name": "ANITA",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160033195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Wickersham, L.M.P.
• Nora Gant Widener, LPTA
• Robin Richard Wiederrich, D.P.D
• Paula Lynne Wiesehan, FNP
• Anthony Wiesner
• Jonathan M Wiley
• Timmothy Wilhite
• Kayla-Moana Wilhoit
• Cynthia Marie Wilkins, CCC-SLP
• William Ferman MD PS

• Physical Therapy Assistant in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.