Robert Joseph Wicklund, R.R.T.

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

4006 Issued in AZ

Practice address

847 W Vuelta Granadina
Sahuarita, AZ 85629-9505

Phone

(520) 393-8259

NPI assigned

Nov 26, 2007

Last updated

Nov 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1710168315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 W VUELTA GRANADINA",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856299505",
            "telephone_number": "520-393-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W VUELTA GRANADINA",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856299505",
            "telephone_number": "520-393-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLUND",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "R.R.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AZ",
            "license": "4006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality Spine & Sports Physical Therapy, LLC
• Ivonne Loren a Wadleigh
• Walmart Inc.
• Tyrea Ann Watson
• Tera Weech
• Elaheh Williams
• Shawna Wilson, PHARMD
• Elisha Wintch, ED.S
• Tina Workman, CRNA
• Aaron Wu, DO

• Registered Respiratory Therapist in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Registered Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.