Whitman Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16129 Issued in CA

Legal business name

WHITMAN PHYSICAL THERAPY, INC

Practice address

55500 South Circle Drive
Idyllwild, CA 92549

Phone

(951) 659-5163

Fax

(951) 659-5691

NPI assigned

Mar 27, 2007

Last updated

Apr 10, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William G Whitman, PT, JD, OCSNPI 1356429989

Title

Owner, Provider

Phone

(951) 659-5163

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Whitman, P. T.

  • Physical Therapist
  • Idyllwild, CA
  • NPI 1356429989
  Medicare reassignment NPD Authorized official
• Marlin Wayne Harris, PT

  • Physical Therapist
  • Idyllwild, CA
  • NPI 1023513306
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1568580249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3125",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "925493125",
            "telephone_number": "951-659-5163",
            "fax_number": "951-659-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55500 SOUTH CIRCLE DRIVE",
            "city": "IDYLLWILD",
            "state": "CA",
            "postal_code": "92549",
            "telephone_number": "951-659-5163",
            "fax_number": "951-659-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITMAN PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "951-659-5163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, JD, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "0PT161290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Steiger, MSW, ASW
• Jodi Ann Sutherland
• Michelle Thomas, AMFT
• Kent A Weishaus, LCSW
• Tierra Wheatley, DACM, L.AC
• William Whitman, P. T.
• Cara Lynn Wilkerson, LMFT
• Robyn Winks, LMFT
• Wood Dragon Inn LLC (Mental Health Residential)

• Physical Therapist in Idyllwild, CA
• Providers in Idyllwild, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.