Wilhelmina Gerarda Van Daelen-Denen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20037 Issued in CA

Practice address

3535 Manchester Ave
Cardiff by the Sea, CA 92007-1520

Phone

(760) 436-8900

Fax

(760) 436-0460

NPI assigned

Jan 25, 2018

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1366940363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 ERLANGER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921223801",
            "telephone_number": "858-558-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MANCHESTER AVE",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071520",
            "telephone_number": "760-436-8900",
            "fax_number": "760-436-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAELEN-DENEN",
        "first_name": "WILHELMINA",
        "middle_name": "GERARDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Scott Schaefer, D.D.S., M.S.D.
• Martin Craig Schulman, M.D.
• Chandrakant V Shah, M.D.
• Brook Sheehan, DC
• Adam Silberman, ND
• Melissa Van Dyk, LCSW
• Sarita Vighne, DACM, L.AC
• Katy Mae Whitehouse

• Physical Therapist in Cardiff by the Sea, CA
• Providers in Cardiff by the Sea, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.