Kyler Nalanieha Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305291 Issued in CA

Practice address

29377 Rancho California Rd Ste 100
Temecula, CA 92591-5206

Phone

(951) 296-0400

NPI assigned

Apr 2, 2024

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mangan Physical Therapy IncGroup PAC ID 3971688839, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mangan Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Temecula, CA
  • NPI 1669658852
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1609628023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915206",
            "telephone_number": "951-296-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29377 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915206",
            "telephone_number": "951-296-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KYLER",
        "middle_name": "NALANIEHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Willis
• Amauri Wilson
• Grace Wilson
• Haylee Wilson, PT
• Keira Wilson, MD
• Matthew Wilson, M.D.
• Maya Simone Wilson
• Paul James Wilson, O.D.
• Taniesha Wilson
• Tori Bianca Wilson

• Physical Therapist in Temecula, CA
• Providers in Temecula, 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 2, 2024; 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.