Individual provider Active NPI

Amy L Wunsch, MSPT

  • Physical Therapist
  • Santa Clarita, CA
National Provider Identifier
1891776241
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29208 Issued in CA
Practice address
23206 Lyons Ave Ste 105
Santa Clarita, CA 91321
Phone
(661) 383-9828
Fax
(661) 206-4153
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29208 CA Primary

Addresses

Primary practice location

23206 Lyons Ave Ste 105
Santa Clarita, CA 91321

Mailing address

23206 Lyons Ave
#105
Santa Clarita, CA 91321-2822
Phone (661) 383-9828

Other practice location 1

17866 Sierra Hwy Ste 101
Santa Clarita, CA 91351-1637
Phone (661) 343-9029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000575 CA Practitioner - Physical Therapist in Private Practice 9537157177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level Physical Therapy and Athletic Performance PCGroup PAC ID 6507116852, 5 clinicians

Practice addresses (Care Compare)

23206 Lyons Ave
Suite 105
Santa Clarita, CA 91321-2671
Phone (661) 383-9828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29208CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy and Athletic Performance, PC Physical Therapist CurrentSince May 3, 2016 Accepting new patients
Progressive Physical Therapy Inc Physical Therapist PastSince Apr 1, 1999 Accepting new patients
All Star Physical Therapy Physical Therapist PastSince Oct 1, 2022 Accepting new patients

Locations

17866 Sierra Hwy
Ste 101
Santa Clarita, CA 91351
Phone (661) 343-9029

23206 Lyons Ave
Ste 105
Santa Clarita, CA 91321
Phone (661) 383-9828

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1891776241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE",
            "address_2": "#105",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212822",
            "telephone_number": "661-383-9828",
            "fax_number": "661-206-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 105",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-383-9828",
            "fax_number": "661-206-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17866 Sierra Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913511637",
            "country_code": "US",
            "telephone_number": "661-343-9029",
            "fax_number": "661-206-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNSCH",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.