Individual provider Active NPI

Priyanka Wadhwani, PT

  • Physical Therapist
  • Corona, CA
National Provider Identifier
1285223818
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299709 Issued in CA
Practice address
2815 S Main St Ste 205
Corona, CA 92882-2533
Phone
(951) 475-1307
Fax
(951) 475-1308
NPI assigned
Jan 18, 2021
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299709 CA Primary

Addresses

Primary practice location

2815 S Main St Ste 205
Corona, CA 92882-2533

Mailing address

24630 Washington Ave Ste 201
Murrieta, CA 92562-6177
Phone (951) 200-3620

Other practice location 1

1090 N Palm Canyon Dr Ste D
Palm Springs, CA 92262-4435
Phone (607) 787-1507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325002008 CA Practitioner - Physical Therapist in Private Practice 1355758004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist CurrentSince Feb 19, 2021 Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

2815 S Main St
Ste 205
Corona, CA 92882
Phone (951) 475-1307

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

1090 N Palm Canyon Dr
Ste D
Palm Springs, CA 92262
Phone (760) 778-7150

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

8215 Rochester Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 892-3020

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

32246 Clinton Keith Rd
Ste 103
Wildomar, CA 92595
Phone (951) 677-7221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1285223818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE STE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-200-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S MAIN ST STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822533",
            "telephone_number": "951-475-1307",
            "fax_number": "951-475-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 N Palm Canyon Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624435",
            "country_code": "US",
            "telephone_number": "607-787-1507",
            "fax_number": "760-778-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADHWANI",
        "first_name": "PRIYANKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.