Jennifer N Wirt, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292214 Issued in CA

Practice address

860 Via de la Paz
Suite B1
Pacific Palisades, CA 90272

Phone

(310) 573-9553

Fax

(310) 573-9533

NPI assigned

Sep 21, 2010

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cypress Physical Therapy Center, Inc.

  • Orthopedic Physical Therapist
  • Pacific Palisades, CA
  • NPI 1831977230
  NPD (past)
• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Oklahoma City, OK
  • NPI 1386605905
  NPD (past)

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1841508017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ",
            "address_2": "SUITE B1",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ",
            "address_2": "SUITE B1",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "90272",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRT",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4362",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin Stuart Weiss, MD
• Sarah Wexler, PA-C
• William P Aull,M.D.
• Gayle Kathleen Windman, PH.D.
• Julia A Winter, RDH COM
• Il Sung Won, M.D.
• Ockja Won, M.D.
• Gordon Wong
• Wormser Smiles Dental Office Inc
• Ronald Philip Wormser, DMD

• Physical Therapist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.