ALEXANDER WICKSMAN
NPI 1114889235
Physical Therapist in Camarillo, CA

Active since November 26, 2025
450 ROSEWOOD AVE STE 105, CAMARILLO, CA 93010(805) 389-4781 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexander Wicksman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER WICKSMAN (NPI 1114889235) is an individual physical therapist in Camarillo, California, licensed in California (309313) and active in the NPI registry since November 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1114889235
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameALEXANDER WICKSMAN
Location Address450 ROSEWOOD AVE STE 105Camarillo, CA 93010-5914
Mailing Address22844 Dolorosa StWoodland Hills, CA 91367-4319
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 24, 2025
✔ NPI 1114889235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 309313
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
450 ROSEWOOD AVE STE 105, Camarillo, CA 93010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Wicksman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507345766
PECOS Enrollment IDI20260209000473

Medicare Billing Reassignments

2

Medicare enrollment records show Alexander Wicksman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
10540 TALBERT AVE STE 250W
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 176 clinicians in this Medicare group
Physical Therapist
41715 WINCHESTER RD, SUITE 202
Temecula, CA 92590
  • Reassigned Medicare billing, California enrollment
  • 295 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010
Physical Therapist
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010
Physical Therapist
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010
Physical Therapist
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010
Physical Therapist
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010
Physical Therapist
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010
Physical Therapist
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010
Physical Therapy Assistant
450 ROSEWOOD AVE STE 105
CAMARILLO, CA 93010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Wicksman's NPI number?

The NPI number for Alexander Wicksman is 1114889235. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is Alexander Wicksman located?

Alexander Wicksman practices at 450 Rosewood Ave Ste 105, Camarillo, CA 93010. The listed phone number is (805) 389-4781.

What is Alexander Wicksman's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Alexander Wicksman enrolled in Medicare?

Yes. Alexander Wicksman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexander Wicksman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Wicksman reassigns Medicare benefits to 2 organizations: Select Cal Physical Therapy PC (Fountain Valley, CA) and Mdrs Spine & Sport, Inc (Temecula, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Wicksman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexander Wicksman was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.