WANDA JK CROOK (NPI# 1720287568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720287568 |
| Entity Type | Individual |
| Full Name | WANDA JK CROOK |
| Credential | PT |
| Practice Address |
16870 W Bernardo Dr Suite 400 San Diego CA 92127-1677 |
| Practice Telephone | 7603152599 |
| Practice Fax Number | 7608882499 |
| Mailing Telephone | 7603152599 |
| Mailing Fax Number | 7608882499 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2014-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
14598 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16870 W BERNARDO DR SUITE 400 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306219936 | Claire Babbitt | Marriage & Family Therapist | 16870 W Bernardo Dr, Suite 400, San Diego, CA 92127-1677 | 2015-11-04 |
| 1053701680 | Infinite Care Advocates, Inc | Case Management | 16870 W Bernardo Dr, Suite 400, San Diego, CA 92127-1677 | 2015-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851197 | Maxine Joyce | Physical Therapist | 15004 Innovation Dr # 4s-205, San Diego, CA 92128-3491 | 2020-01-29 |
| 1679907489 | Malawey Physical Therapy Services P.C. | Physical Therapist | 16885 Via Del Campo Ct Ste 215, San Diego, CA 92127-1790 | 2013-08-28 |
| 1255667671 | Spencer Goff | Physical Therapist | 1277 Glencoe Dr, San Diego, CA 92114-3400 | 2009-10-20 |
| 1023215084 | Nanci Haruko Quinones Clifford | Physical Therapist | 4650 Palm Ave., San Diego, CA 92173-0000 | 2007-07-02 |
| 1275164428 | Helen Shen Chan | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-01-27 |
| 1033458674 | Molly Anne Mcleod | Physical Therapist | 2999 Health Center Dr, San Diego, CA 92123-2762 | 2013-02-01 |
| 1538351374 | Melissa S. Doyle | Physical Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2007-08-15 |
| 1467659607 | Michelle Marie Brodie | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417355 | Aryana Carvalho-mires | Physical Therapist | 11500 W Olympic Blvd Ste 415, Los Angeles, CA 90064-1536 | 2020-08-10 |
| 1649899196 | Elisabeth Alisa Brown | Physical Therapist | 512 Acorn Ct, Scotts Valley, CA 95066-4582 | 2020-04-14 |
| 1861028029 | Darrell R Musick | Physical Therapist | 1033 Willow Lake Rd, Discovery Bay, CA 94505-9402 | 2020-03-19 |
| 1790293512 | Rachel Tran | Physical Therapist | 2356 N San Benito Ct, Claremont, CA 91711-1537 | 2018-01-15 |
| 1689189235 | Jill D See | Physical Therapist | 843 Health Sciences Rd Hewitt Hall 1331, Irvine, CA 92697-0001 | 2017-12-05 |
| 1528588423 | Nathan S. Hohsfield | Physical Therapist | 923 Millson Court, Galt, CA 95632-3402 | 2017-06-21 |
| 1578013561 | Xiaoyin Wang | Physical Therapist | 50 Lansing St Unit 508, San Francisco, CA 94105-4684 | 2016-10-13 |
| 1831646181 | Chelsea Richardson | Physical Therapist | 3848 W Carson St Ste 110, Torrance, CA 90503-6704 | 2016-09-03 |
| 1851788038 | Elline Rose Drilon Linterna | Physical Therapist | 2371 Shawn Dr, San Pablo, CA 94806-1658 | 2015-04-24 |
| 1649678558 | Naohiko Shimada | Physical Therapist | 20404 Anza Ave Apt 24, Torrance, CA 90503-2343 | 2014-12-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.