Wyatt Wichman
NPI 1265072904 · Physical Therapy Clinic/Center · Glendale, CA
Wyatt Wichman is a Physical Therapy Clinic/Center provider in Glendale, CA (NPI 1265072904).
Provider details
- NPI number
- 1265072904
- Entity type
- Individual
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 03316548 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-01-10
- Last updated
- 2020-01-14
- Certified
- 2020-01-14
Frequently asked questions
- What is Wyatt Wichman's NPI number?
- Wyatt Wichman's National Provider Identifier (NPI) is 1265072904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wyatt Wichman's specialty?
- Wyatt Wichman is listed in the NPPES registry with a primary specialty of Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wyatt Wichman located?
- Wyatt Wichman's practice location on file with NPPES is 100 W Broadway Ste 750, Glendale, CA 91210-1215.
- What is Wyatt Wichman's phone number?
- The practice phone number listed in the NPPES registry for Wyatt Wichman is (323) 419-4103.
- Is Wyatt Wichman's NPI active?
- Yes — Wyatt Wichman's NPI (1265072904) is active in the NPPES registry as of the last update on 2020-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.