Peter Wibisono, PT
NPI 1366654469 · Physical Therapist · Woodland Hills, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Wibisono, PT is a Physical Therapist provider in Woodland Hills, CA (NPI 1366654469).
Provider details
- NPI number
- 1366654469
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 26160 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-05-03
- Last updated
- 2022-01-13
- Certified
- 2022-01-13
Frequently asked questions
- What is Peter Wibisono's NPI number?
- Peter Wibisono's National Provider Identifier (NPI) is 1366654469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Wibisono's specialty?
- Peter Wibisono is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Peter Wibisono located?
- Peter Wibisono's practice location on file with NPPES is 5601 De Soto Ave, Woodland Hills, CA 91367-6701.
- What is Peter Wibisono's phone number?
- The practice phone number listed in the NPPES registry for Peter Wibisono is (818) 719-2773.
- Does Peter Wibisono accept Medicare?
- Peter Wibisono is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Wibisono's NPI active?
- Yes — Peter Wibisono's NPI (1366654469) is active in the NPPES registry as of the last update on 2022-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.