Stephen Jason Wilkins, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33100 Issued in CA

Practice address

5065 Hollywood Blvd Ste 201
Los Angeles, CA 90027-6122

Phone

(323) 665-7675

Fax

(323) 665-7226

NPI assigned

Feb 20, 2008

Last updated

Aug 8, 2012By the provider in NPPES

Sex

Male

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Life Physical Therapy, Inc.

  dba Active Physical Therapy & Wellness

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1225330616
  Medicare reassignment NPD Authorized official
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1336317684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 HOLLYWOOD BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276122",
            "telephone_number": "323-665-7675",
            "fax_number": "323-665-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 HOLLYWOOD BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276122",
            "telephone_number": "323-665-7675",
            "fax_number": "323-665-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "STEPHEN",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica I Wilkins, MS
• Kendra E. Wilkins, MSW
• Kenneth Wilkins, DPM
• Sherri Wilkins
• Stacy S Wilkins, PH.D.
• Tiffiny Wilkins, CNA
• George E. Wilkinson Jr., MD
• Nigel Wilkinson-Maitland, MD
• Michael Chevalier Wilkinson
• Arlene Wilks, CRNA

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.