Eliza Evelyn Wilbur, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP12106 Issued in AZ

Practice address

746 W Guadalupe Rd
Gilbert, AZ 85233-3200

Phone

(480) 645-9310

NPI assigned

Jul 8, 2020

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

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1851490627
  Medicare reassignment NPD
• Landmark Physical Therapy, PLLC

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1437471513
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1295353159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 W GUADALUPE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333200",
            "telephone_number": "480-645-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 W GUADALUPE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333200",
            "telephone_number": "480-645-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "ELIZA",
        "middle_name": "EVELYN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra C Wiese, SLPA
• Ariel Kaye Wiesner, SLPA
• Cheryl A Wieweck, NNP
• Colleen R Wight, PA-C
• Kati Wijdenes, DNP
• Gina Del Wilcken, COTA/L
• Grace Wilcock, LPN, CLC
• Carson Reed Wilde, DC
• Seth D Wilde, DC
• Janet Lynn Wildemuth, PA

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.