Francine Wynn, PT24138

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24138 Issued in CA

Practice address

19732 Macarthur Blvd Ste 125
Irvine, CA 92612-2455

Phone

(949) 644-2022

Fax

(949) 644-1914

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newsport Physical TherapyGroup PAC ID 8224131396, 5 clinicians

Practice addresses (Care Compare)

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.

• Newsport Physical Therapy

  • Physical Therapist
  • Corona del Mar, CA
  • NPI 1831258789
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1962554220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19732 MACARTHUR BLVD STE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122455",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19732 MACARTHUR BLVD STE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122455",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "FRANCINE",
        "name_prefix": "Ms.",
        "credential": "PT24138",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT24138",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WPT24138A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yiqian Wu
• Taylor Wulf
• Kathryn Esther Sequoyah Wunsch
• Wylde,LLC
• Dana Wynn
• Christine Joy Xanh
• Xerxez M Calilung DDS Inc
• Feiyue Xia
• Hong Xia, DDS
• Anne Xiao

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.