Debra Wiggins, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA946 Issued in AR

Practice address

1310 Bradley Dr
Mountain Home, AR 72653-2730

Phone

(870) 424-4021

Fax

(870) 424-4112

NPI assigned

Jun 20, 2012

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1982967394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 COUNTY ROAD 710",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358604",
            "telephone_number": "870-435-5888",
            "fax_number": "870-424-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BRADLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532730",
            "telephone_number": "870-424-4021",
            "fax_number": "870-424-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "DEBRA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kay White, LPC
• Michael Shane Whitlock, MD
• Whitney Holland, Registered Dietitian, LLC
• Traci Whitworth, LPC
• Roger F Wickser, BS, QBHP
• Ginger Wiggins
• Moriah Eden Wiggins, COTA/L
• Cheryl Beatrice Wilber, RD
• Lauren Wilber
• Stephen R. Wilber, DO

• Physical Therapy Assistant in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.