Active NPI
Kinnith Dale Wilkinson Jr., PT
- Physical Therapist
- Visalia, CA
National Provider Identifier
1659410306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15525
- Practice address
- 5533 W Hillsdale Ave Ste a
Visalia, CA 93291-5367 - Phone
- (559) 733-2478
- Fax
- (559) 733-2470
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT15525 | CA | Primary |
Addresses
Primary practice location
5533 W Hillsdale Ave Ste a
Visalia, CA 93291-5367
Mailing address
PO Box 7779
Visalia, CA 93290-7779
Phone (559) 733-2478
Other practice location 1
331 N 11th Ave
Hanford, CA 93230-4511
Phone (559) 582-1027
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15525 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courtney J Moore, Physical Therapy, Inc. | Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Selma Physical Therapy
- Physical Therapy Clinic/Center
- Selma, CA
- NPI 1568432599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1659410306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7779",
"city": "VISALIA",
"state": "CA",
"postal_code": "932907779",
"telephone_number": "559-733-2478",
"fax_number": "559-733-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5533 W HILLSDALE AVE STE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915367",
"telephone_number": "559-733-2478",
"fax_number": "559-733-2470"
}
],
"practiceLocations": [
{
"address_1": "331 N 11th Ave",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932304511",
"country_code": "US",
"telephone_number": "559-582-1027",
"fax_number": "559-582-8105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINSON",
"first_name": "KINNITH",
"middle_name": "DALE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.