Krista Lynn Wildberger, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33317 Issued in CA

Practice address

137 Hiram Ave
Newbury Park, CA 91320-3214

Phone

(805) 358-3655

NPI assigned

May 15, 2007

Last updated

Jan 6, 2014By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008

  Physical Therapist

  NPD
• Select Cal Physical Therapy PC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
  • NPI 1487317004

  Physical Therapist

  NPD
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Truckee, CA
  • NPI 1699481127
  NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1932315843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HIRAM AVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203214",
            "telephone_number": "805-358-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HIRAM AVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203214",
            "telephone_number": "805-358-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDBERGER",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weight Loss Sleep Services LLC
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• Alicia Janine Weintraub
• WHR Iop LLC
• Margaret Ann Wiesehan, CMT
• Wilkes & Shani Medical, P.C (Shani Clinic)
• Wilkes Family Medicine
• Donnelly Wilkes
• Heather Williams Baumgart, AMFT
• Winfield Medical Solutions

• Physical Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.