Active NPI
Cynthia Wilborn
- Athletic Trainer
- Redding, CA
National Provider Identifier
1649678020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 80591
- Practice address
- 9230 Silver King Rd
Redding, CA 96001-9769 - Phone
- (530) 604-6976
- NPI assigned
- Dec 16, 2014
- Last updated
- Dec 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT2152 | CA | |
| Athletic Trainer | 2255A2300X | 80591 | CA | Primary |
Addresses
Primary practice location
9230 Silver King Rd
Redding, CA 96001-9769
Mailing address
9230 Silver King Rd
Redding, CA 96001-9769
Phone (530) 604-6976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT2152 | CA | MD | Physical Therapy Assistant |
| 80591 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1649678020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9230 SILVER KING RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960019769",
"telephone_number": "530-604-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9230 SILVER KING RD",
"city": "REDDING",
"state": "CA",
"postal_code": "960019769",
"telephone_number": "530-604-6976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBORN",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-16",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT2152",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "80591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.