William Whitman, P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16129 Issued in CA

Practice address

55500 South Circle Dr
Idyllwild, CA 92549

Phone

(951) 659-5163

Fax

(951) 659-5691

NPI assigned

Nov 1, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Whitman Physical Therapy, Inc

  • Physical Therapist
  • Idyllwild, CA
  • NPI 1568580249
  Medicare reassignment NPD Authorized official
• Desert Physical Therapy

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1558559377
  NPD (past)
• Palm Desert Physical Therapy, Inc.

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1164581997
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1356429989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3125",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925493125",
            "telephone_number": "951-659-5163",
            "fax_number": "951-659-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55500 SOUTH CIRCLE DR",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "92549",
            "telephone_number": "951-659-5163",
            "fax_number": "951-659-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "0PT161290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTPN",
            "identifier": "858",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Ann Sutherland
• Michelle Thomas, AMFT
• Kent A Weishaus, LCSW
• Tierra Wheatley, DACM, L.AC
• Whitman Physical Therapy, Inc
• Cara Lynn Wilkerson, LMFT
• Robyn Winks, LMFT
• Wood Dragon Inn LLC (Mental Health Residential)

• Physical Therapist in Idyllwild, CA
• Providers in Idyllwild, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.