Jamie T Wiekamp, DPT 36269

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 36269 Issued in CA

Practice address

141 W Wilshire Ave
Ste C
Fullerton, CA 92832-1858

Phone

(530) 518-8673

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ando & Aston Physical Therapy, Inc.

  • Physical Therapist
  • Anaheim Hills, CA
  • NPI 1457315889
  NPD (past)
• Womanology

  • Physical Therapist
  • Irvine, CA
  • NPI 1811902208
  NPD (past)

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1639408602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W WILSHIRE AVE",
            "address_2": "STE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321858",
            "telephone_number": "530-518-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W WILSHIRE AVE",
            "address_2": "STE C",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321858",
            "telephone_number": "530-518-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEKAMP",
        "first_name": "JAMIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPT  36269",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 36269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT36269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikel Whiting, MD
• Shania Whitley
• Tekeyah Whitworth
• Julia Wicks, NP
• Shirley Ka-Yin Widdoss
• Tanner Micheal Wifler
• Jared D Wiggs
• Amanda Rose Wightman
• Rachel Wilhelm
• Liandra Daviana Wilkerson

• Specialist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.