Daniel Wick, C. PED

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT4188 Issued in CA

Practice address

325 Rolling Oaks Dr Ste 210
Thousand Oaks, CA 91361-1088

Phone

(805) 573-4008

Fax

(805) 446-3140

NPI assigned

Jun 20, 2013

Last updated

Jun 20, 2013By 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 2

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1821437062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DICKENSON AVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROLLING OAKS DR STE 210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611088",
            "telephone_number": "805-573-4008",
            "fax_number": "805-446-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "DANIEL",
        "credential": "C. PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT4188",
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa E White, MA. , MFT
• Sarah Marie Whiteside, L.M.B.T.
• Claire Elizabeth Whitlock, PT
• Kathryn Elyse Whitney, B.A.
• Whole Health Family Chiropractic
• Kathryn Wickman
• Joshua Widawski
• Richard Stevens Wieler, D.D.S.
• Cristina Susana Wiese, MD
• Jeffrey Wiezorek

• Physical Therapy Assistant in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.