WILDWOOD PHYSICAL THERAPY, INC
NPI 1477196111
Physical Therapist in Penn Valley, CA

Active since October 25, 2019
11392 PLEASANT VALLEY RD, PENN VALLEY, CA 95946(530) 432-9660 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2020, Dec 31, 2019, Oct 25, 2019 (3 updates tracked since 2019).

About Wildwood Physical Therapy, Inc NPPES

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

WILDWOOD PHYSICAL THERAPY, INC (NPI 1477196111) is a healthcare organization registered as a physical therapist in Penn Valley, California and active in the NPI registry since October 2019. The organization lists Tamsyn N Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1477196111
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameNEW EDGE PHYSICAL THERAPY INC
Location Address11392 PLEASANT VALLEY RDPenn Valley, CA 95946-9001
Mailing Address11392 Pleasant Valley RdPenn Valley, CA 95946-9001 · (530) 432-9660
Organization SubpartNo
Authorized OfficialTamsyn N MillerOwner · (530) 432-9660
Enumeration DateOctober 25, 2019
Last NPPES UpdateMarch 26, 20203 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1477196111 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
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.
11392 PLEASANT VALLEY RD, Penn Valley, CA 95946

Other Names 2

Doing Business AsWildwood Physical Therapy, Inc
Doing Business AsWildwood Physical Therapy Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wildwood Physical Therapy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wildwood Physical Therapy, Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1184114779
104 MAGARET LANE
Grass Valley, CA 95945
(530) 263-8006
✔ Accepts Medicare8.5 mi
Physical Therapist in Private Practice
NPI 1043791353
565 BRUNSWICK RD STE 4
Grass Valley, CA 95945
(530) 273-4152
✔ Accepts Medicare9.4 mi
Physical Therapist in Private Practice
NPI 1619115276
569 SEARLS AVE
Nevada City, CA 95959
(530) 478-1933
✔ Accepts Medicare9.9 mi

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

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 New Edge Physical Therapy Inc's NPI number?

The NPI number for New Edge Physical Therapy Inc is 1477196111. It was assigned to this organization in the NPPES registry on October 25, 2019. The provider is doing business as Wildwood Physical Therapy, Inc and Wildwood Physical Therapy Inc.

Where is New Edge Physical Therapy Inc located?

New Edge Physical Therapy Inc is located at 11392 Pleasant Valley Rd, Penn Valley, CA 95946. The listed phone number is (530) 432-9660.

What is New Edge Physical Therapy Inc's specialty?

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

Is New Edge Physical Therapy Inc enrolled in Medicare?

Yes. New Edge Physical Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Edge Physical Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to New Edge Physical Therapy Inc. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Edge Physical Therapy Inc was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.