Active NPI
Jessica L Wiley, DPT
- Orthopedic Physical Therapist
- La Jolla, CA
National Provider Identifier
1851733190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 41929
- Practice address
- 7590 Fay Ave
Suite 5252
La Jolla, CA 92037-4885 - Phone
- (858) 224-3387
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207992 | VA | |
| Orthopedic Physical Therapist | 2251X0800X | 41929 | CA | Primary |
Addresses
Primary practice location
7590 Fay Ave
Suite 5252
La Jolla, CA 92037-4885
Mailing address
7590 Fay Ave
Suite 525
La Jolla, CA 92037-4885
Phone (858) 224-3387
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41929 | CA | MD | Ambulatory Care Pharmacist |
| 2305207992 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1851733190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7590 FAY AVE",
"address_2": "SUITE 525",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374885",
"telephone_number": "858-224-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7590 FAY AVE",
"address_2": "SUITE 5252",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374885",
"telephone_number": "858-224-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207992",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "41929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.