Individual provider Active NPI

Erika Wilbur, MSPT

  • Physical Therapist
  • Chico, CA
National Provider Identifier
1407914088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 28224 Issued in CA
Practice address
1046 Mangrove Ave
Chico, CA 95926-3548
Phone
(530) 892-2966
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 28224 CA Primary

Addresses

Primary practice location

1046 Mangrove Ave
Chico, CA 95926-3548

Mailing address

779 Halie CT
Chico, CA 95973-0448
Phone (530) 894-7137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116001303 CA Practitioner - Physical Therapist in Private Practice 6800850124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vandl Ventures Physical Therapy IncGroup PAC ID 5092627174, 3 clinicians

Practice addresses (Care Compare)

1044 Mangrove Ave
Chico, CA 95926-3509
Phone (530) 892-2966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 28224CAMDPhysical Therapist
28224CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
V&L Ventures Physical Therapy, Inc Physical Therapist CurrentSince Sep 13, 2004 Accepting new patients
La Jolla Sol Ventures Inc Physical Therapist Past Accepting new patients

Locations

1044 Mangrove Ave
Chico, CA 95926
Phone (530) 343-1908

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407914088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 HALIE CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730448",
            "telephone_number": "530-894-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MANGROVE AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263548",
            "telephone_number": "530-892-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "ERIKA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 28224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.