Candace M Wiggins, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024327-1 Issued in NY

Practice address

4747 Middle Settlement Rd
New Hartford, NY 13413-4983

Phone

(315) 793-8580

Fax

(315) 223-4718

NPI assigned

Jan 10, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Function Better PT PLLC

  • Physical Therapist
  • Herkimer, NY
  • NPI 1376738815
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1508915018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921631",
            "telephone_number": "315-525-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134134983",
            "telephone_number": "315-793-8580",
            "fax_number": "315-223-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CANDACE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024327-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554763",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11516408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Richard Welchons
• Lisa Marie Weller, RPH
• Elois Wells, LCSW-R
• Samuel William Westmoreland, M.D.
• Andrew B Wickline, MD
• Jennefer Luann Will, FNP
• Rolanda Willacy, MD
• William a Graber MD
• Kristi Williams
• Leniesha Williams

• Physical Therapist in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.