Velina Yvonne Wilson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

12400 High Bluff Dr
San Diego, CA 92130-3077

Phone

(866) 871-8519

NPI assigned

Jun 22, 2021

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

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1437728508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134424",
            "telephone_number": "803-840-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 HIGH BLUFF DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303077",
            "telephone_number": "866-871-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VELINA",
        "middle_name": "YVONNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Wilson
• Timothy Watson Wilson
• Tracey Wilson, RCFE
• Traci Wilson
• Trisha Marie Wilson, LE
• Warren Michael Wilson, IDC
• William C Wilson
• Zaekeya Wilson, MS, OTR/L, PAMS
• Zoe Elizabeth Wilson
• Sarah Constance Wilton

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.