Carolann Henline Wiggs, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13622 Issued in NC

Practice address

3515 Glenwood Ave
Raleigh, NC 27612-4934

Phone

(919) 863-6873

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1619280799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124934",
            "telephone_number": "919-863-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124934",
            "telephone_number": "919-863-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGS",
        "first_name": "CAROLANN",
        "middle_name": "HENLINE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13622",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Clayton Wiggins, O.D.
• Donald G Wiggins, LPCA
• Kevin Wiggins
• Myisha Wiggins
• Wiggs D.M.D. & Wiggs D.M.D., PLLC
• Matthew Judson Wiggs, D.M.D.
• Robert Lynn Wiggs, D.M.D.
• Kaitlin Michelle Wightman-Ausman
• Sarah Wigton
• Sara Wilburn, MS, RD, LD, CEDRD

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.