Collin Robert Wigely, DPT | |
1520 Nutmeg Pl Ste 111, Costa Mesa, CA 92626-2557 | |
(714) 979-3500 | |
Not Available |
Full Name | Collin Robert Wigely |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1520 Nutmeg Pl Ste 111, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447974126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 302960 (California) | Primary |
Provider Name | Select Cs Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
Provider Name | Select Cal Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572 |
Mailing Address | Practice Location Address |
---|---|
Collin Robert Wigely, DPT 1520 Nutmeg Pl Ste 111, Costa Mesa, CA 92626-2557 Ph: (714) 979-3500 | Collin Robert Wigely, DPT 1520 Nutmeg Pl Ste 111, Costa Mesa, CA 92626-2557 Ph: (714) 979-3500 |
Ms. Elizabeth M Byrne, M.P.T.,A.T.C. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Adams Ave, Suite 201, Costa Mesa, CA 92626 Phone: 714-556-1600 Fax: 714-556-3737 | |
Caroline A Teets, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1112 Fax: 949-250-1404 | |
Mr. Kurt Justin Nofziger, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave, Suite 128, Costa Mesa, CA 92627 Phone: 949-722-8811 Fax: 949-722-9911 | |
Mr. Johnathan Loquasto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Harbor Blvd Ste F5, Costa Mesa, CA 92626 Phone: 714-540-6792 Fax: 714-540-6794 | |
Kevin Castillo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1122 | |
Haining Su, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 260, Costa Mesa, CA 92627 Phone: 949-335-7967 | |
Mrs. Michele Leann Elvander, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3124 Taft Way, Costa Mesa, CA 92626 Phone: 562-397-4871 |