Bernardina Gertruda Wilcox, P.T.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT 9500 Issued in CA

Practice address

760 N Euclid St
Suite 105
Anaheim, CA 92801-4133

Phone

(714) 535-7700

Fax

(714) 535-5445

NPI assigned

Jul 22, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wilcox Physical Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Anaheim, CA
  • NPI 1245251511
  NPD (past) Authorized official
• HW Physical Therapy

  dba Specialized Physical Therapy

  • Orthopedic Physical Therapist
  • Tustin, CA
  • NPI 1255829503
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841211034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 N EUCLID ST",
            "address_2": "SUITE 105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014133",
            "telephone_number": "714-535-7700",
            "fax_number": "714-535-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N EUCLID ST",
            "address_2": "SUITE 105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014133",
            "telephone_number": "714-535-7700",
            "fax_number": "714-535-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "BERNARDINA",
        "middle_name": "GERTRUDA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 9500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Wiederin
• Sri Jayantha Wijegoonaratna, M.D
• Mapitiyage N Wijesinghe, M.D.
• Wilcox Physical Rehabilitation Center
• Aaron Philip Wilcox, M.D.
• Dina Wild
• Elijah Wilhelm
• Yahri Wilhite Esquite
• Alan J. Wilkins, MD
• William E. Smith Chiropractic Corp.

• Physical Therapy Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.