Sandra Klingmeyer Wiggins

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602856 Issued in VA

Practice address

1761 Cherry Grove Rd
Suffolk, VA 23438-9505

Phone

(757) 646-7456

NPI assigned

Apr 8, 2016

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1457715245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 CHERRY GROVE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234389505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 CHERRY GROVE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234389505",
            "telephone_number": "757-646-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGMEYER WIGGINS",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha King, LMT
• Casey Harp Kirlin
• Myecha Kitchen, LCSW
• Crystal Kittrell-Johnson, PHD, LPC
• Audrey Catherine Klecka, FNP-C
• Tracy L Knaak, PA-C
• Richard D Knauft, M.D.
• Cheryl Knight
• Knox Audiology LLC
• Carrie Ann Knox, AU.D.

• Physical Therapy Assistant in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.