Leslie Robin Wikholm, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1688 Issued in CA

Practice address

4100 Normal St
San Diego, CA 92103-2653

Phone

(619) 725-5501

NPI assigned

Mar 21, 2026

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": "1774051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1609724830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 GLOAMING AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921144630",
            "telephone_number": "619-725-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NORMAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032653",
            "telephone_number": "619-725-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKHOLM",
        "first_name": "LESLIE",
        "middle_name": "ROBIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-21",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "1688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Wightman Jr., PA-C
• Caitlin J Wigley
• Courtney Wigner, BCBA
• Imanie S Wijayaratne, PSY.D.,M.A.
• Pushpanjalie Wijeratne, MD
• Matthew Allen Wikler, M.D.
• Anne M. Wiklund, LCSW
• Denise Ann Wiksten, PHD, ATC
• Winona Lili Wiland, PA-C
• Whitney Wilbanks, OTD, OTR/L

• 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 Mar 21, 2026; 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.