MR. WYATT ROBERT WICHMAN
NPI 1265072904
Clinic/Center - Physical Therapy in Glendale, CA
NPI Status: Active since January 10, 2020
Contact Information
100 W BROADWAY STE 750
GLENDALE, CA
ZIP 91210
Phone: (323) 419-4103
Fax: (323) 419-5507
- Individual
- Male
- Clinic/Center
- Physical Therapy
About WYATT WICHMAN
This page provides the complete NPI Profile along with additional information for Wyatt Wichman, a provider established in Glendale, California with a medical specialization in Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1265072904 assigned on January 2020. The practitioner's primary taxonomy code is 261QP2000X with license number 03316548 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1265072904
- Provider Name
- MR. WYATT ROBERT WICHMAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 W BROADWAY STE 750 GLENDALE, CA 91210
- Location Phone
- (323) 419-4103
- Location Fax
- (323) 419-5507
- Mailing Address
- 100 W BROADWAY STE 750 GLENDALE, CA 91210
- Mailing Phone
- (323) 419-4103
- Mailing Fax
- (323) 419-5507
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-10-2020
- Last Update Date
- 01-14-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 03316548
- License State
- CA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | 03316548 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 03316548 | OTHER (01) | CA | PHYSICAL THERAPY AGENCY |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265072904, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265072904, enumerated as an "individual" on January 10, 2020.
The provider is located at 100 W BROADWAY STE 750 GLENDALE, CA 91210 and the phone number is (323) 419-4103.
Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
